Registration for the UC Davis Fall Academy for Pre-Algebra and Algebra I Support

Space is limited, please sign up early to reserve your spot.

Personal Information

* Name:
* Address:
* Home Phone: () -
* Cell Phone: () -
* Email:
* City:
* State:
* Zip:

School and Teaching Information

* School Name:
* School Address:
* School Phone: () - Ext:
* School District:
* County:
* State:
* Subjects Taught:
* Grade Levels Taught:

Course for which to Register

* Algebra Course ($299):

NOTE: Please also fill out a hard copy of the registration and return it with a check for $299. The form is available as a pdf file HERE.