E.D.S. Group Class
Registration Form
1. Please mark a check in the box next to the class for which you are enrolling.
2. Fill out information below.
3. Mail back a copy of this registration form with your deposit of $150.00 which is refundable until 2 weeks before the first class.
4. Classes fill quickly, so mail your registration back as soon as possible.
5. Class dates are subject to change. You will be notified in advance if that occurs.
SAT
group class – Please circle SAT class you wish to
attend: A
1 2 3 4
SAT private lessons – minimum 16 hours
SSME – Please circle class you wish to attend: A B C D E
HSPT group class – Please circle HSPT class you wish to attend: A B
SAT students – previous PSAT or SAT scores: Unweighted GPA
Date of test Verbal Math Writing Weighted GPA
STUDENT
NAME:
HOME
PHONE:
ADDRESS:
CITY:
ZIP:
SCHOOL:
GRADE:
MOTHER:
WORK PHONE:
CELL
PHONE:
FAX:
FATHER:
WORK PHONE:
CELL
PHONE:
FAX:
Primary
Contact Person: ˙
MOTHER
˙
FATHER
E-MAIL
DRIVER’S
LIC.
REFERRED BY:
For all classes: $150.00 deposit due with registration;
Except for private lessons, balance due by first class
|
Mail
this form with your deposit of $150.00 (payable to E.D.S.)
to: |
E.D.S. |
|
|
7445 NW 4th Street |
| Plantation, FL 33317 | |
|
|
Phone (954) 584-9817 Fax (954) 792-5776 |