ACT Prep at LJA: Course Registration Form (Fall 2019)
Please fill out a separate registration form for each student. Invoices will be emailed to parents within 24 hours of course registration. If you have any questions, please email Info@ElitePrepHawaii.com.
Parent's Name [First Name, Last Name] *
Your answer
Parent's Email Address *
Your answer
Student's First Name *
Your answer
Student's Family Name *
Your answer
Student's School *
Your answer
Student's School Email Address *
Your answer
Mailing Address (Street Name, City, Zip Code) *
Your answer
Student's Grade Level *
Which course(s) would you would like to register for? *
Required
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