Adult's Name *

First Name

Last Name

Phone *

(###)

###

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Are you a childminder? *

This helps us apply the correct discount and plan class sizes.

Yes

No

I've read and agree to the Terms & Conditions *

You can read them terms and conditions here.

Yes

Do you consent to Jump Start Maths taking photos/videos of your child during class?

This is completely optional - no pressure at all! Details can be found in our terms and conditions.

Yes I consent