Once-A-Week Program Paying Monthly Initial Payment at registration (Including first month s tuition)

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1 1 Since 1979 TUITION & PAYMENT Once-A-Week Program Paying Monthly Initial Payment at registration (Including first month s tuition) Registration Fee Monthly Tuition Fee (once-a-week) $200 (one-time only as long as a student continues with the program) $200 (Note: After passing the first book, this fee will be reduced to $140) Yearly Membership Fee (Jan-Dec) $80 Total initial payment $480 Pre-K Program is for half an hour private lesson. Monthly tuition is $ Twice-a-week Program is available. Monthly tuition fee is $ We accept check, money order or cash for tuition payments. Checks and money orders should be made payable to: Supermath *Trial class is $100 per hour. Fee does not apply towards regular payment. Last Updated: 1/24/2018

2 SUPERMATH CAMPUS REGULAR CLASS SCHEDULE AND LOCATIONS San Francisco Classes Time M T W T F S 12-1pm 1-2pm 3-4pm 4-5pm 5-6pm 6-7pm San Mateo Classes Time M T W T F S 12-1pm 1-2pm 2-3pm 4-5pm 5-6pm 6-7pm Santa Clara Classes Time M T W T F S 2-3pm 3-4pm 4-5pm 5-6pm 6-7pm 2 SuperMath 1581 Webster Street, Suite 170. San Francisco, CA Last updated: 12/29/2017 (415)

3 3 SUPERMATH STUDENT CLASS REQUEST FORM For admissions, please fill out and return the followings: 1. Student Class Request Form (page 3) 2. Application Form (page 4) 3. Signed Contract for Admission (page 7) 4. A check or money order with full payment made payable to SUPERMATH. Note: Payment must be received by the third week of the previous month from the starting month. ENROLLMENT IS NOT GUARANTEED UNTIL YOU HEAR FROM US. Student Name: Please fill in your preferred regular class location, day and time below. If your choice is not available, a staff will contact you. Location, day, time There is an introductory class available for a new student before he/she joins the first regular class. (Note: For Pre-K class inquiries, please contact our office.) Please indicate where have you heard about SuperMath? TV Newspaper Saw a Demonstration Friend (Referral s Name ) Other Last Updated: 1/24/2018

4 APPLICATION FOR SUPERMATH 4 (STUDENT) ANY NICK S ADDRESS ADDRESS CITY, STATE, ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY, STATE, ZIP BIRTHDATE (STUDENT) SCHOOL GRADE SCHOOL LOCATION OF SCHOOL (name of city or town only) DESCRIPTION O Private O Public O Other FATHER OR LEGAL GUARDIAN EMPLOYER PHONE (BUS) w/area code PHONE (HOME) w/area code CELL PHONE w/area code MOTHER EMPLOYER PHONE (BUS) w/area code PHONE (HOME) w/area code CELL PHONE w/area code IN CASE OF EMERGENCY - CONTACT & ADDRESS PHONE w/area code Please list names of other children Please provide us your comments WHY DO YOU WANT YOUR CHILD TO LEARN SUPERMATH? HOW IS YOUR CHILD PERFORMING IN MATH AT SCHOOL? (OPTIONAL) Additional comments O Acquire mental calculation skills O Augment current math curriculum O Building self-esteem O Enhance mental dexterity O Attain computational efficiency in daily life O Enhance/improve examination results (i.e., SAT, etc) Please indicate your objective(s)/expectation(s) Signature PARENT/LEGAL GUARDIAN (SIGNATURE) DATE updated: 1/20/2013

5 5 SUPERMATH CONTRACT FOR ADMISSION I. TERMS: 1. The SuperMath program is a continuous year round program. SuperMath is a group lesson but progress is based on an individual s level. 2. Each class session will be one hour. 3. There are 47 classes per year for each day of the week. (Refer to the SuperMath Annual Calendar on our website.) 4. Holidays will be observed on: New Year s (Eve & Day), Thanksgiving Day, and Christmas (Eve & Day). 5. Proficiency/Advancement Examinations will be held whenever a student is ready. 6. Students who pass the examinations will be given a sticker and a Certificate with extra charge. 7. A SuperMath student-ranking list will be issued every month. 8. Students must provide their own pencils. 9. All absences must be reported as soon as possible. This will allow us to regulate the student's curriculum. (i.e., homework, etc.) 10. Parents will not be permitted to attend with their child during class. There will be a specified date set aside periodically for Open Class in which parents will be allowed to sit through class sessions with their child. 11. Make-up Classes: i. There is no regular make-up lesson. ii. 4 consecutive weeks of absences can be exchangeable with a private lesson ($125 value). iii. 8 consecutive weeks of absences can be exchanged with a SuperMath Camp ($250 value). Last Updated:

6 II. FEES: 6 1. There will be a non-refundable initial registration fee of two hundred dollars ($200.00). The registration fee must be paid again if the payment is stopped and elects to return to SuperMath. 2. There will be a $80 yearly membership fee. 3. ALL PAYMENTS ARE NON-REFUNDABLE. The monthly fee is two hundred dollars ($200). Full monthly charges will be assessed regardless of the number of sessions he/she attends (including no sessions attended at all). Monthly fees will not be prorated for classes not attended. 4. Late charges of twenty dollars ($20.00) for each student will be assessed if payment is not received by the 25th of the previous month (for monthly fees). 5. Beginning with the second family member of the student, there will be five dollar ($5) monthly discount towards each additional family member(s). 6. Fees DO NOT include examination fees, special events such as the Annual SuperMath Contest. All US Correspondence Contest or any other non-instructional act. All students MUST participate in the Annual SuperMath Contest. All participants receive a trophy. 7. Examination Fees: SuperMath Anzan ($13) Book 14-10c ($15) Book Pre-9 ($30) Book 9 8 ($17) Book 7 4 ($20) Book Pre-3 1 ($25) DAN ($30) All the fees and content of the contract are subject to change. III. LIABILITY: All classes will be held at a rented or leased facility. SuperMath or the owner of the building shall NOT be held liable for any accidents or bodily injury to the student and/or its guardian/parent. Further, SuperMath shall be held harmless and will be indemnified against all claims pertaining to the foregoing. All risks will be assumed by the student and/or its guardian/parent. Last Updated: Initial

7 Please make sure that you read, understand and agree to the following by checking the boxes below: Make up system Mandatory Annual SuperMath Contest for students at Book 13 and higher 7 Late fee (due by the 25 th of the previous month) I have carefully read the above foregoing and agree to the terms/conditions of this Contract. DATE Joe Watanabe, Manager, SuperMath DATE Last Updated:

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