SAT/PSAT Prep Form Student Name * First Name Last Name Email * Parent or student email. This is where communication and important documents will be sent, so please put the best email for contact. Student Phone If student has a phone and will be responsible for communication via text, please add. If you do not want your student to have text contact please leave blank. (###) ### #### Student's Age * Last math level student has completed? * Parent/Guardian Name * First Name Last Name Parent/ Guardian Phone Number * (###) ### #### Can I text this number? Yes No Emergency Contact * First Name Last Name Emergency Contact Phone * (###) ### #### Relationship to student? How is the emergency contact related to the student? Does your student have any allergies? If yes, please list below. Payment Plan * *Please note: CASH payments are received in cash, check, Venmo, Cash App, and Zelle. Pay full amount in CASH at the beginning of the semester. Pay monthly (at the beginning of the month) in CASH. Pay monthly (at the beginning of the month) in CHARTER FUNDS. Are you interested in private sessions or a class? *PLEASE NOTE: Class will be held based on interest. At this time there are no classes offered for the SAT/PSAT Prep. You will be notified if a class is formed. Private Sessions Class Thank you! You will receive an email from me shortly to complete the sign up process for your student!