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.)
Zip/Postal Code
Parent(s) Work Phone
Home Phone

Grade (choose one):

School Attending:

What AP class(es) are you registering for (please list) and indicate the student's current grade average(s):
AP Course:
Current Average:
To hold a seat in our course, a $50 deposit is required, plus new student enrollment or returning fee, if applicable. Please provide credit card information below:
Name on Card:
Card Number:
Expiration Date:

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: $215 per subject
Class Length: 6 hours

Copyright © 2009 Total Learning Concepts, Inc. All rights reserved.
Revised: April 9, 2011
Copyright © 2015 Total Learning Concepts, Inc. All Rights Reserved