Final Exam Review 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): *:

Choose the class(es) you are registering for and indicate the student's current grade average(s): *

Algebra I

Geometry

Algebra II

Adv. Algebra/Trig

PreCalculus

Calculus

Biology

Chemistry

Physics

World History

US History

Government

Spanish

French

Latin

German

9th English

10th English

11th English

12th English


Choose the type of course(s): *

Technical
College Prep
Honors
Gifted
Advanced Placement


Course Title: *
Textbook Title: *

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?: *

Class Tuition: $250/subject
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.