Registration Form Note: Phase One Class completion is required to enroll in a Phase Two Class. Parent Name * First Name Last Name Parent Email * Parent Phone Number * (###) ### #### Student Name * First Name Last Name Student Email * Student Phone Number * (###) ### #### Home Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Student High School * Student Graduation Year * How would your student like to attend class? * In Person Online Hybrid What test is your student preparing for? * ACT SAT ACT and SAT PSAT PreACT Which test date is your student preparing for? * How long would you like your student to study for? * Five Weeks Three Weeks When would your student like to attend class? * Note: Your class time preference will be noted, but it cannot be guaranteed. Saturday 9:00am-12:00pm Sunday 9:00am-12:00pm Sunday 12:00pm-3:00pm Monday/Wednesday 4:00pm-5:30pm Monday/Wednesday 6:00pm-7:30pm Tuesday/Thursday 4:00pm-5:30pm Tuesday/Thursday 6:00pm-7:30pm How did you hear about us? * Thank you for registering for the Phase Two Class! To confirm your registration, please click the button below and complete the instructions that follow. Thank you for registering your student! To reserve your student’s seat, please click the button below to complete your purchase.
