DB Math – Class Registration Form

Step 1 of 2

Algebra 1 Preview
Summer 2025
6/16/2025 – 8/7/2025

Student Info

Student's Name(Required)

First Last

Student's Preferred First Name

Student's Grade Level(Required)

If summer break, enter upcoming grade level.

Student's School(Required)

If summer break, enter school for upcoming school year.

Student's Email Address(Required)

A class username and password will be sent to this e-mail address. If not received, check Spam folder.

Enter Email Confirm Email

Parent Info

Parent's Name(Required)

First Last

Parent's Preferred First Name

Parent's Email(Required)

Enter Email Confirm Email

Parent's Phone Number(Required)

Shipping or Pickup

How would you like to get the class workbook?(Required)

Ship it to me (extra cost: $10)

Pick it up (near H-Mart plaza in Diamond Bar, CA)

Shipping Address(Required)

Street Address Address Line 2 City State ZIP Code

Survey Info

If someone referred this class to you, please enter their email address below.

How did you hear about us?

Katie or David 😀

Friends or Family

A WeChat group

Website

Other

If you have any comments, questions, or feedback please write it here.

DB Math – Class Registration Form

Algebra 1 Preview
Summer 2025
6/16/2025 – 8/7/2025

Student Info

Parent Info

Shipping or Pickup

Survey Info

Order Summary

Billing Info

Precalculus Preview – Lesson List

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DB Math – Class Registration Form

Algebra 1 PreviewSummer 20256/16/2025 – 8/7/2025

Student Info

Parent Info

Shipping or Pickup

Survey Info

Order Summary

Billing Info

Algebra 1 Preview
Summer 2025
6/16/2025 – 8/7/2025