Enrollment Application Form

FAMILY INFORMATION


Please complete all required fields indicated by an Asterix.

      
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STUDENT INFORMATION


    
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ENROLLMENT AGREEMENT


I am responsible for the payment of all fees for this account. I understand the registration fee is non-refundable and is to be paid each school year beginning July 1st. My student will be supervised during study time by a parent or a responsible adult who will not allow the student to copy answers from the score keys. I agree to follow the procedures taught in the Parent/Supervisor Training Packet. I will keep all tests and test keys in a secure place inaccessible to the student. I will grade the tests and return them promptly at the end of each quarter

      

Fees due with Enrollment Application: 

$50 Registration Fee and $30 Diagnostic Testing Fee. After completion of Diagnostic Tests, you may pay annually or quarterly. For a complete current price list, see Registration and Fees page.


Payment Options - Please Call (309) 663-4477 with credit card information.

Please be sure to submit this form, then call the office to make your payment.

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