Live Online Course Registration Form
Please fill out this group course registration form and submit it to Lentz & Lentz SAT Prep.
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Student's First Name: *
Student's Last Name: *
Parent's First Name: *
Parent's Last Name: *
Address (include apt. # if applicable): *
City/Town: *
State: *
Zip Code: *
Home Phone (w/area code) *
Parent Cell Phone (w/area code) *
Student Cell Phone (w/area code) *
Parent's Email: *
Student's Email: *
High School: *
Current Grade:
Have you previously taken the Lentz course before?
Student's Current G.P.A.:
Previous PSAT Scores: (if applicable)
Reading and Writing:
Previous SAT Scores: (if applicable)
Reading and Writing:
Please select which Live Group Course Schedule you would like to register for? *
Credit Card Information:
Credit Card Type: *
Credit Card Number: xxxx-xxxx-xxxx-xxxx (Please include all 16 digits) *
Name on Card: *
Expiration Date: *
Credit card verification code : (last three digits found on back of your card) *
Guarantees & Conditions:
Please read the following paragraph carefully. You must check the I Agree box or your registration will not be considered valid.

I understand that I am signing up for a live online virtual SAT, PSAT, or ACT prep course hosted through ZOOM.

Money back guarantee within 3 calendar days after sitting through math and English Lesson #1 in its entirety for the PSAT/SAT courses. No refunds after that point regardless of any reason or excuse. If the student does not attend the first lesson and wishes to withdraw regardless of any reason or excuse, there will be a charge of $85, plus a $25 processing fee. There will be no refunds after 3 calendar days after lesson #1.

Once the office has been contacted, three calendar days after lesson #1, confirmed refunds will be processed upon return of the annotated curriculum by mail only to the main office. Material cannot be returned to teachers or to the office in person.

There will be a $25 processing fee for all refunds.

There will be no refunds for the ACT supplement.

For any student enrolling from lesson #2 on, tuition is non-refundable regardless of any reason.

There are no refunds for deferred students from previous terms.

If a class has insufficient enrollment, we reserve the right to cancel.

If technical difficulties cause cancellation of a regularly scheduled class, a make-up class will be provided in a timely manner. There are no refunds for classes that are interrupted due to technical difficulties.

If a student takes our PSAT or SAT class and does not wish to attend the additional 2 lessons during the following term, the tuition is non-refundable and non-transferable.

Lentz & Lentz reserves the right to dismiss any student from the program for disciplinary reasons. No refunds will be issued in cases of this nature.

Failure to submit this form nullifies any previously stipulated refund policy. No refunds without submission of this form within 3 calendar days after session #1.
By clicking I Agree box, I accept and agree to all the terms and conditions as outlined above. *
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