How did you hear about us?
Referred By (First, Last Name)
What program(s) are you registering your child for?
Are you interested in group lessons or private sessions
Group & Private Sessions
I give my consent to the Integral Academy to possibly use photographs of my child to post on the Integral Math Academy website, and other social media networks for community awareness and educational purposes. No student names will be included.
I, parent or guardian of the above named child, give my approval for my child to participate in any and all activities of Integral Academy. I further hereby release, indemnify, and hold harmless the organizers, instructors, and staff of the Integral Math Academy. I likewise waive, to the extent not covered by the liability insurance, any claims against any person overseeing my child’s activities.