Northridge Academy Step-Up Direct Pay
Please complete this form once you have submitted the order within the EMA Direct Provider page. 
Search "northridge" and you can choose your product. We will receive just your student's name, but in order to set up testing, we need additional information.
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Email *
Student Name- make sure it matches student name in EMA *
Child Grade *
Parent Name *
Parent Phone Number *
OPTIONAL: Transaction Id or Invoice Number
Acknowledgement of Responsibilities:
I agree to not assist my student in any way on the assessments, including providing answers, feedback, and suggestions. I agree to not share any digital representations (eg pictures or videos) of the assessment or questions with others. I agree to contact Northridge Academy for all my support issues and not any other company (ie Renaissance). By submitting this form, I agree to all these conditions and any others Northridge Academy may require.
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