Registration

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THE INTENSIVE PREP COURSE INCLUDES:
ACT/SAT Study Manuals
1,250 ACT/SAT Practice Questions
Financial & Computer Literacy Classes
Online ACT/SAT Practice Videos
College Application & Scholarship Search Assistance
Resume Preparation
ACT/SAT Registration Assistance if needed
NCAA Clearing House Registration Assistance (athletes only)
6-Week Course
***Each student must be registered for a test prior to the first day of class****
LOCATION: BlackWatch Sports - 157 Resource Center PKWY, Ste. 107, Birmingham, AL 35242

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info (Not Contact #1 or #2)*

Students entered below will be added to your family's account

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Birth Date: *	(format=mm/dd/yyyy)
	Student Email:
	School:*	Grade Level:*
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):
	Primary Doctor:
	Liability Agreement Date:

Additional Information: