Online Registration SAT/ACT Extended Prep - Section A

Please fill out the form completely.

Required fields are denoted with a red asterisk (*)

Parent Info.

Parent's First Name*

Parent's Last Name*


Student Info.

Student's First Name*

Student's Last Name*


School Info.

Student's School*

Student's Grade Level*
(If registering for a Summer course, please indicate
grade level as of the upcoming school year.)


Contact Info.

Street Address*

City*

State* (abbreviation)

Zip Code* (numbers only)

Telephone* (numbers only)

Cell Phone or Work Phone (numbers only)

Email Address*


Registering with a Friend? [optional]

Registering for this class with a friend
entitles you to a $25.00 discount!

Friend's First Name

Friend's Last Name


Student's Math Grades (letters or numbers only)

For example: A, B, 90%, 80%, etc.

6th   7th   8th  

9th   10th   11th   12th


Student's Test Scores [optional] (numbers only)

PSAT #1: Math   Reading   Writing  

Date (mm-yyyy)

 

PSAT #2: Math   Reading   Writing  

Date (mm-yyyy)

 

SAT I #1: Math   Reading   Writing  

Date (mm-yyyy)

 

SAT I #2: Math   Reading   Writing  

Date (mm-yyyy)

 

SAT II #1: Math IC   Math IIC  

Date (mm-yyyy)

 

SAT II #2: Math IC   Math IIC  

Date (mm-yyyy)

 

PLAN:

Math   English   Reading   Science

Composite   Date (mm-yyyy)

 

ACT #1:

Math   English   Reading   Science

Composite   Date (mm-yyyy)

 

ACT #2:

Math   English   Reading   Science

Composite   Date (mm-yyyy)


How did you hear about The Math Center? (please check all that apply)
Word of Mouth
Pioneer Press Ad
Card Deck
Individual Postcard   
Internet
Other


Home | Courses | Tutoring | Mark Ryan | For Parents
Fees | Register | Corporate Training | Testimonials
The Math Center: For the Very Best in Mathematics Education
Winnetka Community House 620 Lincoln Ave, Winnetka, IL 60093
Phone: (847) 401-MATH Email: markryan@themathcenter.com
Last updated 2/2024 © 2024 The Math Center
maintained by Grierson Consulting