NOTE: Group classes will only be conducted when minumum
number of students are enrolled.
All group classes are presently held at the Plantation center.
NAME: _________________________________________________
HOME
PHONE: ________________
SCHOOL: _______________________________________________ GRADE
(in
fall): ________________
ADDRESS: _________________________________________
CITY:
_____________________________
EMAIL: _______________________________________________
ZIP: ____________________________
MOTHER’S
NAME: _______________________________ FATHER’S
NAME: ______________________
WORK
PHONE: _________________________________ WORK PHONE:
_________________________
CELL PHONE: _________________________________
CELL PHONE: _________________________
High School Students: If you’ve
taken a PSAT or
SAT:
Unweighted
Date of test
________ Verbal ________
Math ________ Writing ________
Weighted
GPA
All Classes: $150.00 deposit due with
registration; balance due by first class.
Mail this form with your
deposit of $150.00 (payable to E.D.S.) E.D.S.
7445 NW 4th Street
We must have the registration form AND deposit to reserve your
space. Plantation,
FL 33317