REGISTRATION FORM FOR SAT  PREPARATION CLASS

for March 9, 2019 SAT test

Class maximum: 14               Registration will be recorded on the day it is received.

Class minimum: 5 students by December 17, 2018

Fee: $485 – send a $150 non-refundable deposit to reserve spot and pay balance of $335 at the first class session

Mail registration form and check to:

Bender and Rocap Educational Services

941 E. 86th St. Suite #100

Indianapolis, IN 46240

 

STUDENT NAME:                                                                                                                                    

PARENT NAME:                                                                                                                                       

ADDRESS:                                                                                                                                               

                                                                                                                                                                 

PARENT PHONE (H)                                                               (C)                                                           

PARENT EMAIL                                                                                                 

STUDENT PHONE (C)                                                                                      

Student email                                                                                                   

SAT class_______                                  ACT class_______

For registration verification, please check your preferred method of contact:

                                 Phone (please realize message may be left on voicemail or answering machine)

                                 Parent Email

SCHOOL:                                                                                                             

Current English class:                                                                                     

Current Math Class:                                                                                       

Please add test score information if you have it:

PSAT: year____________ English_______ Math_______

SAT: year ____________ English _______ Math_______ Essay______

ACT: year ____________ English_______ Math_______ Reading_______ Science_______ Essay______

Add any comments or questions: