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's Full Name

Age

Grade in 2008-09 school year

Birthday

Courses requested

Studnet 2: Full Name

Age

Grade in 2008-09 school year

Birthday

Courses requested

Student 3: Full Name

Age

Grade in 2008-09 school year

Birthday

Courses requested

 

 

 

 

 

 

 

 

 

 

 

 

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?

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

 

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

 

 
 
 
 
 
 
 
 

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