Registration Form for Online Math Tutorials

Thank you for your interest in the InForM Net online learning program. Please complete the following registration form and mail or fax it to: InForM Net 181 Henlow Bay, Winnipeg, Manitoba R3Y 1M7, Phone: 488-1767 ext. 247, Fax: 489-6149, E-mail bdugray@pembinatrails.ca

Your First Name:

Your Last Name:



Mailing Address:

Street Address:

City/Town: Province: Postal Code:

Phone Number: - -

Your E-mail Address:


(InForM Net will not post your address; it will only be used to send you a reply)

Current High School:

School Division:



Modules:

Module 1. Mathematical Reasoning
Module 2. Statistics
Module 3. Polynomials
Module 4. Spatial Geometry
Module 5. Linear Relations
Module 6. Similarity & Congruence
Module 7. Probability
Module 8. Powers and Exponents
Module 9. Trigonometry
Module 10. Transformational Geometry

The module fee of $40 per module is payable to InForM Net

If you wish to change any information you have entered, press the START AGAIN button. If the information is correct, press the SUBMIT button.

IMPORTANT : Prior to leaving this page, please ensure that the cursor (the arrow) has replaced the wait cursor (the hourglass or clock) to ensure your comments have been properly forwarded.