ATTENTION! This is an old website. Please register for new classes at: http://www.collegeboundtestprepinc.com/user/signup-parent/ Student Name: * How did you hear about our prep classes? * Parent/Contact Name: * Parent e-mail address: * Parent e-mail address (re-enter): * Alternate e-mail address (optional): Student e-mail address (optional): Phone #: * Alternate Phone # (cell, etc.): Street Address: * Street Address2: City: * State: * Zip Code: * Name of Student's High School: * SAT or ACT prep class registration? * For ACT students, are you taking the optional writing section? Yes No Prep Course Signing up for (Beginning Date/Day/Time): * Actual SAT or ACT EXAM (date) you plan on taking: * Student's current/most recent math class: * Are there any special needs the class instructor should be aware of (ADHD, dyslexia, etc.)? Name/Phone # of all students in group (if applying for Group Discount): Standard Class-Individual Student = $375.00 (no Group Discount) * Yes No Standard Class w/ 1 Friend Group Discount = $355.00 each (must sign up with 1 other student) Yes No Standard Class w/ 2 Friend Group Discount = $345.00 each (must sign up with 2 other students) Yes No Standard Class w/ 3 Friend Group Discount = $335.00 each (must sign up with 3 other students) Yes No Standard Class w/ 4 Friend Group Discount = $325.00 each (must sign up with 4 other students) Yes No Private/Custom Class- Individual Student = $1325.00 (Private One-on-one sessions) Yes No Private/Custom Class- 2 Person Class = $700.00 each (class limited to 2 students who register together) Yes No Private/Custom Class- 3 Person Class = $490.00 each (class limited to 3 students who register together) Yes No Private/Custom Class- 4 Person Class = $390.00 each (class limited to 4 students who register together) Yes No Private/Custom Class- 5 Person Class = $325.00 each (class limited to 5 students who register together) Yes No In-Home Class = $450.00 per student (5 student min. charge per class; 1-6 students; taught in YOUR home) Yes No Additional Comments (if any)? Paying Deposit Online? (If "No" checks are to be made payable to "College Bound Test Prep" and sent to 18055 SW Hart Dr, Beaverton OR 97007) * Yes No