Summer Academy Biology Class Registration
• July 30-August 15th; Tuesdays and Thursdays from 6:00 to 8:00 pm
• Six 2 hour classes on site at ACC Office
• Enrollment limited to 8 students
• Cost: $1,000
• 10% discount on ACC VIP College Coaching Package
Contact Information
Student's Name (first & last) *
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Mom's Name (first & last) *
Your answer
Dad's Name (first & last) *
Your answer
Mom's Email Address *
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Dad's Email Address *
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Mom's Cell Phone Number *
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Dad's Cell Phone Number *
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Home Address *
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Emergency Contact Name & Cell Phone Number *
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Student's Information
Student's year of high school graduation *
School that the student will attend during the 2019-20 school year *
Your answer
Briefly describe the student's scientific background (classes, competitions or other experiences) *
Your answer
Additional Information
Referral Source: how did you hear about us? *
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Anything else we should know? Use the space below to provide us with any additional information. (Not required).
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Payment & Confirmation *
By selecting "Yes" below you are finalizing your summer class registration, pending tuition payment. A member of the ACC Team will contact you within 2 business days regarding payment options.
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