Course Request

Course Request Form

This form is only for courses that are not already open. Special courses will only be open once there are enough students requesting. Please submit separate forms for more than one course.

Student Information

Student First Name

Email Contact

Student Last Name

Wechat (If available)

School

Guardian's First Name

Guardian's Last Name

I'm already a student at ScienceMax

Requesting Course

Requesting Instructor

Additional Comments

Preferred Class Format

Private 1 on 1Group Classes

Preferred Class Time

Fall (September - December)Winter (January - April)Spring (May - June)Summer (July - August))

I want to be notified when my course is available

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