2019-20 Veritas Education Class Registration Form
To register for the class, please complete the following information and submit the payment to USCECC.

Check payable to: USCECC

Mail to:
USCECC-Veritas Education
1751 Pinnacle Drive #600
McLean, VA 22102

Questions?
veritas@uscecc.org
www.uscecc.org

Course tuition and date information: www.uscecc.org/courses
*Early bird discount can't be combined with sibling discount
**Payment must be received by the early bird deadline in order to receive the early bird rate
Student first and last name *
Your answer
Student grade level as when they are taking the class (or rising grade level if the form is filled out during the summer) *
Student email address *
Your answer
Student current school *
Your answer
Parent name *
Your answer
Home address *
Your answer
Parent email address *
Your answer
Parent cell phone number *
Your answer
Class Registration: Please click all classes that apply
College Essay Writing (see our website for early bird pricing)
Fall 2019a: Reading and Writing Enhancement Class at Marshall High School (see our website for early bird pricing)
Fall 2019b: Reading and Writing Enhancement Class at Tyson's Corner Office - 90 min (see our website for early bird pricing)
TJ Writing Class - Session 1: 10/12 - 12/14/2019 (see our website for early bird pricing)
TJ Intensive Writing Class - Session 2: 01/04 - 01/18/2020 (see our website for early bird pricing)
How did you hear about us? *
Required
Payment option (no credit card option available) *
Special instruction
Your answer
By printing my name below and/or paying the fee, I understand and agree with the policy that the class tuition is not refundable after the class starts. A partial refund request will be granted only when my student withdraws from the class due to a medical reason accompanied by a doctor's note. Parents also give permission to Veritas Education to use, as its own property, for publicity, advertising or other reasonable commercial purpose, without compensation to the Student or their family, any photos, audio recording, video, slides, films or other media taken of the student by Veritas Education containing the student's image, voice or words. 
 *
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Coupon code
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