Please fill out the form completely.
Required fields are denoted with a red asterisk (*)
Parent's First Name*
Parent's Last Name*
Student's First Name*
Student's Last Name*
Student's School*
Student's Grade Level* (If registering for a Summer course, please indicate grade level as of the upcoming school year.) Please select one: 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade
Street Address*
City*
State* (abbreviation)
Zip Code* (numbers only)
Telephone* (numbers only)
Cell Phone or Work Phone (numbers only)
Email Address*
Registering for this class with a friend entitles you to a $75.00 discount!
Friend's First Name
Friend's Last Name
For example: A, B, 90%, 80%, etc.
6th 7th 8th
9th 10th 11th 12th
PSAT #1: Math Reading Writing
Date (mm-yyyy)
PSAT #2: Math Reading Writing
SAT I #1: Math Reading Writing
SAT I #2: Math Reading Writing
SAT II #1: Math IC Math IIC
SAT II #2: Math IC Math IIC
PLAN:
Math English Reading Science
Composite Date (mm-yyyy)
ACT #1:
ACT #2:
