PCH Full Curriculum Course Registration
After receipt of this form, we will then confirm your selected consultation time.

Our system requires either a GMAIL or GOOGLE account for access. Please use the STUDENT'S CCHS or a GMAIL address for access to materials:
Email *
Student Name: *
Student Mobile Number:
Parent Name: *
Parent Email:
Parent Phone Number:
Year of HS Graduation: *
MATH CLASS TAKEN FOR 2020/21
CURRENT GRADE:
REQUESTED CONSULTATION TIME via ZOOM
Sun 2:30pm
Mon 2:30pm
Tue 2:30pm
Wed 2:30pm
Thu 2:30pm
Week of 3/28/21
Week of 4/4/21
Week of 4/11/21
Program Fee Options
Method of Payment
A copy of your responses will be emailed to the address you provided.
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