Registration Information & FAQ Thank you for your interest in our popular Math Olympiads course. In order to ensure your registration is valid and processed correctly it is imperative that you read carefully and follow the instructions below. Any registration form that is incomplete will not be processed. Please call 408-777-3120 with any registration questions. Note that the City of Cupertino reserves the right to change any of the information below at any point during the registration process. Registration may be submitted in three ways: Registration Process 1. Drop-off your COMPLETE registration form, including payment, in person to the Quinlan Community Center: 10185 N. Stelling Road, Cupertino CA 95014. Our office is open during the following times: Monday-Thursday- 8:00am-10:00pm Friday- 8:00am- 5:00pm Saturday- 8:30am- 4:30pm 2. Fax your COMPLETE registration form to our secure line at 408-777-1305. 3. Mail the COMPLETE registration form to the Quinlan Community Center: 10185 N. Stelling Road, Cupertino, CA 95014. You may pay with cash, check, Visa, MasterCard, American Express, or Discover Card. Checks must be made payable to CITY OF CUPERTINO. There will be a $27.85 service charge for all returned checks. 1 st Day of Cupertino Resident Registration: July 24 th 1 st Day of Non-Resident registration: July 31 st Registration forms dropped off BEFORE the registration dates will NOT be accepted. Ranking your class choices: Rank the choices of each section for which you would be willing and available to attend. Do not mark any days that you cannot attend. (Mark 1 for first choice, 2 for second, etc.). Families who wish to change their section after securing a spot will be moved to the bottom of the waitlist. When registration is processed, you will be placed based on your ranking selection & space. If your first choice is full, you will be placed in the next class available based on your ranking. If no spaces are available in any of your marked choices, you will be placed on the waiting list. Payment will not be processed, unless you have a spot. Rank your choices carefully. If you want to switch after a class has been assigned, you will be removed from the class and be placed at the bottom of the waitlist. Math Olympiad Registration Information & FAQ 1
Registration Information & FAQ Random Processing Procedure All registrations received between July 24 th and August 7 th will be entered into daily random processing. For example, forms received between 12am and 11:59pm on the July 24 th date will be randomly processed during our regular business hours on July 25 th. Registrations submitted after August 7 th will be placed in classes on a first-come, first-serve basis and are subject to availability. Due to the large volume of applicants, confirmation notifications will be mailed home between 1-2 weeks following the August 7 th date. Refund Policy Withdrawals must be requested at least 8 calendar days prior to the start of the class for a full refund. Withdrawals requested 7 calendar days or less prior to the first class meeting will incur a 10% processing fee. Refunds will not be issued 3 calendar days or less before the start of the class. No refunds will be issued once the class has begun. Frequently Asked Questions Q: I will be out of the country during the Info Night and/or registration days! How can I register in time? A: You may still register in time by doing one of the following: 1. Have a family member or friend turn in the completed registration form for you. Parent must sign the liability waiver. 2. Fax in the completed form to 408-777-1305. We will not accept faxes prior to registration date. In order to get a copy of the 2018-2019 registration form, please visit our website at the following page: http://www.cupertino.org/our-city/departments/recreation-and-community-services/recreation-classes-andactivities/youth. The registration form will be available AFTER the Math Olympiad Info Night. We cannot distribute the form earlier than the Info Night. Registration forms submitted or faxed BEFORE the registration dates will NOT be accepted. [Answer continued on next page] Math Olympiad Registration Information & FAQ 2
Registration Information & FAQ When submitting registration forms, please be sure ALL FIELDS are filled out properly. Forms must have the following information to be considered complete: Student name and information Parent contact information (WRITE EMAIL LEGIBLY - USED FOR MR. G s PARENT EMAILS!) Ranking of class choices Liability waiver signed & dated by parent Payment type If paying by card, complete credit card information CC #, CVC #, expiration date, and signature INCOMPLETE OR EARLY SUBMITTED FORMS WILL NOT BE PROCESSED. Q: Can I email in my registration forms? A: In order to be financially compliant, we CANNOT accept emailed registration forms. Any emailed forms will NOT be processed. Q: What is Mr. G s email? How can I contact him? A: Cupertino Recreation staff will be able to assist with questions regarding registration and other Cupertino Recreation courses. For all questions regarding the Math Olympiads class, curriculum, class make-ups, exam results, progress reports, and events, please contact Mr. G at matholympiads123@gmail.com. Q: If my child attends a CUSD school or I work in Cupertino, but we live in another city, am I considered a Cupertino resident? A: At this time, Cupertino resident registration and residents fees are only for families who currently live and hold an address within the Cupertino city limits. We will be using our internal systems to verify residency. Forms with discrepancies will experience a delay in processing and additional proof of residency may be required before final processing. Q: How can I ensure my child gets in the class? A: Being open with your scheduling will increase the chances of getting a spot. However, you must guarantee that you can attend the sections you have selected as options. Q: My schedule has changed, may I transfer to another day/time? A: No refunds or transfers will be allowed once the class begins. INCOMPLETE OR EARLY SUBMITTED FORMS WILL NOT BE PROCESSED. Math Olympiad Registration Information & FAQ 3
Registration Form In order to ensure your registration is processed correctly, be sure to write legibly and complete each part of the application. Incomplete applications will not be processed. Refer to pages 1-3 for Registration and FAQ Student s Name: Home Address: (First) (Last) (Number) (Street) (Apt #) (City) (Zip Code) Home Phone: Preferred Phone Date of Birth: / / School Grade (2018-2019 School Year) Parent/Guardian s Name: Parent/Guardian Email Address: (WRITE CLEARLY! EMAIL ADDRESS ACTIVELY USED FOR ALL CLASS COMMUNICATION!) Emergency Contact: Emergency Phone # Rank your choices for enrollment below (read carefully): Rank the choices of each section for which you would be willing and available to attend. Do not mark any days that you cannot attend. (Mark 1 for first choice, 2 for second, etc.). Families who wish to change their section after securing a spot will be moved to the bottom of the waitlist. When your registration is processed, you will be placed based on your ranking selection and space. If your first choice is full, you will be placed in your second choice, if available, and so on. If no spaces are available in any of your marked choices, you will be placed on the waiting list. Division E: Grades 4-6 Division M: Grades 6-8 *Honors/Accelerated class: Acceptance must be approved by instructor Rank Choices Division Section Code Day of Week Time Location Meetings Fee E 80286 Tuesday 2:45pm 4:00pm Creekside Park 36 $1188R/$1426NR E 80287 Tuesday 4:00pm 5:15pm Creekside Park 36 $1188R/$1426NR E 80288 Tuesday 5:20pm 6:35pm Creekside Park 36 $1188R/$1426NR E 80289 Tuesday 6:45pm 8:00pm Creekside Park 36 $1188R/$1426NR *E Honors 80297 Tuesday 8:00pm 9:15pm Creekside Park 36 $1188R/$1426NR E 80298 Wednesday 4:00pm 5:15pm Creekside Park 36 $1188R/$1426NR M 80290 Wednesday 5:20pm 6:35pm Creekside Park 36 $1188R/$1426NR M 80291 Wednesday 6:45pm 8:00pm Creekside Park 36 $1188R/$1426NR M 80292 Wednesday 8:00pm 9:15pm Creekside Park 36 $1188R/$1426NR E 80293 Thursday 4:00pm 5:15pm Creekside Park 36 $1188R/$1426NR M 80294 Thursday 5:20pm 6:35pm Creekside Park 36 $1188R/$1426NR M 80295 Thursday 6:45pm 8:00pm Creekside Park 36 $1188R/$1426NR *M Accelerated 80296 Thursday 8:00pm 9:15pm Creekside Park 36 $1188R/$1426NR Math Olympiad Registration Form 1
Registration Form LIABILITY WAIVER SIGNED BY PARENT/LEGAL GUARDIAN ONLY I understand that my participation in the event or class exposes me to the risk of personal injury, death, or property damage. I hereby acknowledge that I am voluntarily participating in this event or class and I agree to assume such risks, including risk of personal injury, death, or damage to property. In consideration of acceptance of my application to participate in the event or class for which I am participating, I hereby RELEASE, DISCHARGE, AND AGREE NOT TO SUE, the City of Cupertino, the Cupertino Union School District, the Cupertino Public Facilities Corporation, the County of Santa Clara, the Fremont Union High School District, or any of their employees, contractors, volunteers, or agents ( collectively, City ) to the fullest extent legally possible from any injury, death, or damage or loss to personal property arising out of, or in connection with, my participation in the event/class from whatever cause, including the active or passive negligence of City or any other participants in the event or class. I understand that City does not guarantee the construction, condition, or safety of the facilities where the event or class is taking place. In consideration for being permitted to participate in the event or class, I hereby agree, for myself, my heirs, administrators, executors, and assigns, that I shall indemnify, defend and hold harmless City from any and all claims, demands, actions or suits arising out of or in connection with my participation in the event or class. I further allow my photograph to be taken and used for City purposes without compensation. I HAVE CAREFULLY READ THIS RELEASE, HOLD HARMLESS, AND AGREEMENT NOT TO SUE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT IT IS A FULL RELEASE OF ALL LIABILITY AND SIGN IT OF MY OWN FREE WILL. IF PARTICIPANT IS UNDER 18: I AM THE PARENT OR GUARDIAN OF THE STUDENT ENROLLED IN THIS EVENT OR CLASS AND HAVE EXECUTED THIS RELEASE, HOLD HARMLESS, AND AGREEMENT NOT TO SUE. I HAVE THE LEGAL CAPACITY TO SIGN AND ACT ON BEHALF OF THE STUDENT, AND AGREE TO BIND MYSELF, THE STUDENT, HEIRS, ADMINISTRATORS, AND ASSIGNS TO ITS TERMS. Date / / Signature of Parent or Legal Guardian Print Parent or Legal Guardian Name Payment by: Cash Check (payable to City of Cupertino) Refund check payable to: Visa MasterCard American Express Discover Card Credit Card Number Expiration Date / CVC Number (on back of card, American Express on front) Authorized Amount $. Name as it appears on the card Authorized signature Include with your registration: 1. Payment 2. Signature of parent/legal guardian 3. Signature for credit cards (if paying by credit card) IF THE REQUIRED ITEMS ARE NOT INCLUDED WITH YOUR REGISTRATION FORM, YOUR REGISTRATION WILL NOT BE PROCESSED. For Office Use Only: Date Received Date Processed Problem Letter mailed/ faxed Confirmation mailed/ faxed Received by Processed by Problem Letter mailed by Confirmation mailed by Refund Due $ Credit memo issued for $ Check # Returned Check Math Olympiad Registration Form 2