Advanced Placement (AP) National Test Preparation Registration Form

Please provide the following contact information:
Today's Date: *
Student's Name: *
Parent's Names: *
Class Date:
Street Address *
Address (cont.)
City *
State/Province *
Zip/Postal Code *
Parent(s) Work Phone *
Home Phone *
E-mail *

School Attending: *

Grade (choose one):


What AP class(es) are you registering for (please list) and indicate the student's current grade average(s):

AP Course: *
Current Average: *

Choose the class times convenient for this student on each class day:

Saturday: 10 a.m. - 1 p.m.
Saturday: 2 p.m. - 5 p.m.
Saturday: 6 p.m. - 9 p.m.
Sunday: 1 p.m. - 4 p.m.
Sunday: 5 p.m. - 8 p.m.


How did you hear about Total Learning Concepts?: *

Course Tuition: $250
Class Length: 6 hours
$65 New Student Enrollment Fee
$35 Returning Student Fee


To hold a seat in our course, a $50 deposit is required, plus new student enrollment or returning fee, if applicable.