PSAT/SAT/ACT Registration Form
Please provide the following contact information:
Student's Name:
Parent's Names:
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Parent(s) Work Phone
Home Phone
E-mail
School Attending:
Grade:
G.P.A.:
Previous PSAT:
PSAT Verbal:
PSAT Math:
PSAT Dates Taken:
Previous SAT:
SAT Verbal:
SAT Math:
SAT Dates Taken:
Previous ACT:
ACT English:
ACT Reading:
ACT Math:
ACT SciReas:
ACT Composite:
ACT Dates Taken:
Class start date for
which student is registering:
How did you hear about
Total Learning Concepts?:
To hold a seat in our course, a $100 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 days and times that are the most convenient:

Monday Afternoon
Monday Evening
Tuesday Afternoon
Tuesday Evening
Wednesday Afternoon
Wednesday Evening
Thursday Afternoon
Thursday Evening
Saturday Morning
Saturday Afternoon
Sunday Afternoon

Please check those other services TLC provides to students in which you are interested:

Essay Development for college applications
Interviewing Skills with an admissions officer
"Speed Reading Strategies" course
Subject tutoring in school courses
"Final Exam Review" classes
"College Study Strategies" course

Course Fee is $595 (includes all textbooks and materials)
Course Length: 11 weeks

This fee covers:

  • Pre and Post-Testing
  • All Textbooks
  • 28hours of instruction
  • Home Assignments
  • "Parent Night"
  • Course Guarantee
  • T-Shirt & Pizza Party
Copyright © 2009 Total Learning Concepts, Inc. All rights reserved.
Revised: April 9, 2011
             
Copyright © 2015 Total Learning Concepts, Inc. All Rights Reserved