PSAT Sign-up Form
****There is no confirmation email; the message you receive after submitting this form constitutes your confirmation.****

By completing this form, you agree to pay $30 for taking the exam (or $45 if registering after 9/15/17).

After completing this form (copy it now if you need to), use this link to go to the Unibank online payment site: https://unipaygold.unibank.com/Default.aspx?customerid=1044

Or bring a check made out to Wayland High School to Mr. Buffa in the guidance office.

Although phone and email fields are not required, not including any contact info prevents me from being able to contact you in case of a problem, and may jeopardize your ability to take the exam.

See http://www.whstesting.com in the fall for information on what to bring, when and where to report, etc.

Student First Name *
Your answer
Student Last Name *
Your answer
Student Grade (when taking the PSATs) *
Please choose the grade the student will be in when taking the PSAT, i.e. if registering in the spring, choose the grade he/she will be in in the fall.
Required
Student email (easiest to reach)
Your answer
Student Phone (easiest to reach)
Your answer
Parent / Guardian email (easiest to reach)
Your answer
Parent / Guardian Phone (easiest to reach)
Your answer
Do you / your student have College Board approved accommodations? *
You most likely have such accommodations if you / your student is on a 504 or IEP, though being on a 504 or IEP in no way guarantees College Board approved accommodations. If you are uncertain, check with your counselor or liaison.
If you / your student has College Board approved accommodations, which accommodations do they have? (Check all that apply.)
The most common are extra time (either 50% or 100%), extra or extended breaks, etc.
If you / your student has College Board approved accommodations, please include the SSD number below.
The SSD number can be found on the letter from College Board confirming the accommodations.
Your answer
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