Evrika Learning Center

Online Registration

To register, please fill in the form below. You will receive an e-mail confirming your registration. If you don't, please e-mail us at classes@evrikacenter.com or call 203.975.1134.

If you experience any problems submitting your registration, please e-mail or call us at 203.975.1134.

Location

Student (s) Information
Student 1: Full Name
Age
Grade in 2009-10 school year
Birthday
Courses requested	Fill in for all classes you are interested in or leave blank if not
	Subject	Day	Time you select should match schedule
a) Russian
b) Music/Theatre
c) Art
d) Math
e) Group Piano (Stamford only)
f) Ballroom Dance (Stamford)

Studnet 2: Full Name
Age
Grade in 2009-10 school year
Birthday
Courses requested	Fill in for all classes you are interested in or leave blank if not
	Subject	Day	Time you select should match schedule
a) Russian
b) Music/Theatre
c) Art
d) Math
e) Group Piano (Stamford only)
f) Ballroom Dance (Stamford)

Student 3: Full Name
Age
Grade in 2009-10 school year
Birthday
Courses requested	Fill in for all classes you are interested in or leave blank if not
	Subject	Day	Time you select should match schedule
a) Russian
b) Music/Theatre
c) Art
d) Math
e) Group Piano (Stamford only)
f) Ballroom Dance (Stamford)

Parent Information
Full Name (first parent or legal guardian)
Full Name (second parent or legal guardian)
Street
City
State
Zip
Home Phone
Work Phone
Cell Phone (s)
E-mail (s)

Additional contact information in case of emergency (phone #, name, relation)

Comments and Other Information

Whom can we thank for recommending us?

Child Evaluation and Goals for Attending Our Programs

If you are registering for Math, Russian and/or Art programs, please answer a few questions below for respective subjects for each of your children to help us find the most suitable class(s). If you attended our program last full year, you can skip this section and go directly to "Submit Registration" (click here).

Student Name 1

Math:

1. What do you want to achieve as a result of attending our math program? Please mark all that applies:

Improve math skills and be at regular school level Deepen and enhance math skills and be above regular school level Improve tests results

2. What is the most difficult area of math for your child?

3. What is the easiest area of math for your child?

4. What marks does your child usually get in math in his/her regular school?

5. How would you evaluate your child's interest in math? Likes it, wants to learn more doesn't like it doesn't care

6. Any other comments?

Russian:

1. Alphabet: doesn't know alphabet knows some letters knows all letters

2. Reading doesn't read reads by letters reads by syllables reads by whole words

3. Writing cannot write writes in print letters writes in script

4. Speaking doesn't speak speaks slow speaks fast mixes Russian and English words

5. At home we speak Russian Engish both

6. Any other comments?

7. What would you like to achieve as a result of attending our Russian program?

Art (please mark all that apply):

likes to draw neutral in his/her interest has attended other art classes before familiar with watercolors

If you are registering only one child, please click here to go to the "Submit" sections.

Student Name 2

Math:

1. What do you want to achieve as a result of attending our math program? Please mark all that applies:

Improve math skills and be at regular school level Deepen and enhance math skills and be above regular school level Improve tests results

2. What is the most difficult area of math for your child?

3. What is the easiest area of math for your child?

4. What marks does your child usually get in math in his/her regular school?

5. How would you evaluate your child's interest in math? Likes it, wants to learn more doesn't like it doesn't care

6. Any other comments?

Russian:

1. Alphabet: doesn't know alphabet knows some letters knows all letters

2. Reading doesn't read reads by letters reads by syllables reads by whole words

3. Writing cannot write writes in print letters writes in script

4. Speaking doesn't speak speaks slow speaks fast mixes Russian and English words

5. At home we speak Russian Engish both

6. Any other comments?

7. What would you like to achieve as a result of attending our Russian program?

Art (please mark all that apply):

likes to draw neutral in his/her interest has attended other art classes before familiar with watercolors

If you are registering two children, please click here to go to the "Submit" sections.

Student Name 3

Math:

1. What do you want to achieve as a result of attending our math program? Please mark all that applies:

Improve math skills and be at regular school level Deepen and enhance math skills and be above regular school level Improve tests results

2. What is the most difficult area of math for your child?

3. What is the easiest area of math for your child?

4. What marks does your child usually get in math in his/her regular school?

5. How would you evaluate your child's interest in math? Likes it, wants to learn more doesn't like it doesn't care

6. Any other comments?

Russian:

1. Alphabet: doesn't know alphabet knows some letters knows all letters

2. Reading doesn't read reads by letters reads by syllables reads by whole words

3. Writing cannot write writes in print letters writes in script

4. Speaking doesn't speak speaks slow speaks fast mixes Russian and English words

5. At home we speak Russian Engish both

6. Any other comments?

7. What would you like to achieve as a result of attending our Russian program?

Art (please mark all that apply):

likes to draw neutral in his/her interest has attended other art classes before familiar with watercolors

Do you permit us to take photos with your child during lessons/breaks/events and publish them in our printed materials and on our website?

Yes No

IMPORTANT. Please read before submitting registration

By submitting this registration, you agree to our terms and policies:

Tuition for Fall session is due by/on the second day of classes, for Winter and Spring sessions - by/on the first day of classes.

For new students, payment is due on the second day of classes. If after the very first class you decide not to continue, there is no payment due. New students ONLY may cancel after the very first month in their very first semester for a pro-rated refund. No other cancellations in the middle of any semester are available. If a new student begins classes in a middle of semester, tuition will be pro-rated. Acceptance of new students in a middle of semester is limited.

There are no refunds for missed classes. Homework for missed class(s) will be sent to students by e-mail or mail.

Tuition for semester may be paid over the length of semester if payment arrangements are made in advance. A late payment fee of $25 will be charged if tuition is not paid within 30 days from the first day of any semester and no payment arrangements are made in advance.

If any classes are canceled for any reason, tuition will be pro-rated and refund issued.

If additional theatre classes will be scheduled for rehearsals, adjustments to tuition will be made accordingly.

Tuition Discounts

- Students taking 3 or more classes receive 10% discount on the 3rd and subsequent classes.
- Second child per family receives 10% discount.

When you, the parent (s) or legal guardian, are at our classes facility with your child and your child is not engaged in a lesson activity, you have full responsibility for your child's actions.

If you don't find information you are looking for on our site, please e-mail us at classes@evrikacenter.com or call us at 203.975.1134