SAT Course Registration
This registration is for the SAT Prep course at Santa Cruz Learning Center
Course Tuition: $500 (Free repeat. This course may be repeated as many times as you would like before graduation!)
* Required
Students Name
*
Your answer
Student's Phone(s) (home and Cell)
Your answer
Student's School
Your answer
Student's Grade Level as of Fall 2019
Your answer
Which Class would you like to sign up for?
*
Year-long course Tuesdays and Thursdays 6-8pm
Private tutoring
Other:
Parent or Guardian 1 Name and Relationship to Student
Your answer
Parent or Guardian 1 Phone Numbers (Home, work and cell)
Your answer
Mailing Address Parent 1:
Address, City and Zip
Your answer
Parent or Guardian 1 Email Address
Your answer
Best way to reach Parent or Guardian 1?
Your answer
Parent or Guardian 2 Name and Relationship to Student
Your answer
Phone numbers of Parent or Guardian 2 (home, cell, work)
Your answer
Mailing Address Parent 2:
Address, City and Zip
Your answer
Email Address of Parent or Guardian 2
Your answer
Best way to reach Parent or Guardian 2
Your answer
How did you learn about our SAT prep course?
Your answer
Does the student have any learning differences? If so, please describe
Your answer
Is there anything else that you would like to add?
Your answer
How would you like to pay for the course?
*
By Credit Card (we will send you an invoice by email and you can do this online)
By Check (your check is due on or before the first day of class).
I would like to arrange a payment plan of two payments for $250
I will pay in cash on the first day of class
Ocean Grove Purchase Order
Paypal (send payment to
malika@santacruzlearningcenter.com
through Paypal)
I already paid. I am repeating the course for free because of your free repeat offer
Waiver portion: By entering my name in the box below, I agree not to hold Santa Cruz Learning Center, or the owners, Malika and Nathaniel Bell, or any tutors or independent contractors at the Santa Cruz Learning Center liable for any physical or psychological injuries to me or my child, which could possibly occur at the Santa Cruz Learning Center.
*
Enter your full name name here
Your answer
Date
*
enter the date here
Your answer
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