ELA Mock Test Registration Form
Who: Children in Grades 3-8

What: ELA Mock Test

When: Tuesday, February 19 & Wednesday February 20 (Midwinter Recess)

Time: 2:30 PM- 6:00 PM

Cost: $10 for one or both days (Free for current afterschool students)

Schedule: 2:30- 2:45 PM- Check In
2:45- 3:45 PM- Mock Test (Multiple Choice)
3:45- 4:00 PM- Break Time
4:00- 5:00 PM- Mock Test (Short Answer & Extended Response)
5:00- 5:30 PM- Grade Tests, Review MC answers, Review comments from teachers on short & extended
responses
5:30- 5:50 PM- Opportunity to retry short & extended responses
5:50- 6:00 PM- Dismissal

Where: Queens Herald Church, 65-15 164 Street, Fresh Meadows, NY, 11365

What to bring: Pencil, Eraser, Water Bottle, Snack

Questions: Email jeying@qhc.org or Tel: (718)321-3871

Email address *
Child's Name
Your answer
Child's Grade
Is your child a current afterschool student?
Days my child will attend the mock tests
Do you attend QHC?
Parent's Name
Your answer
Parent's Phone Number
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone Number
Your answer
Name of Person(s) who will pick up Child
Your answer
I hereby register my child for the ELA mock test administered by Queens Herald Church Afterschool. My child will follow all rules set forth by the Afterschool staff during participation in these mock tests. I acknowledge the schedule set forth by the program and will pick up my child at the designated time. If a fee is required of me, I will remit payment on the first day my child attends the program.
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