Testing Application
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Email *
Parent Name: *
Teacher Name if not Parent listed above:
Name of your home school: *
Student Name: *
Student Grade *
Student Date of Birth *
Address: *
City, State and Zip *
Cell Phone: *
Dates Preferred: *
Add preferred dates for Individual Appointment
Please check preference of Time of Day:
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Please add any information that is relevant to testing for your child.
If you have a preference in who administers your child's test, please enter their name below.  Although this is not guaranteed, we will do all we can to accommodate you.
*****Note***** We are not always able to accommodate preferences on testing days. Please understand if your preference is not available on a testing day. If your preference is necessary, consider choosing an Individual Private Testing Day. 
A copy of your responses will be emailed to the address you provided.
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