Group Course Registration Form (telephone registrants only)


Instructions: Please fill out this form only if you have already given your credit card information to a Lentz telephone representative. When complete, press the "Submit" button to send the form to Lentz & Lentz SAT Prep.

* = Required Information

* Student's Last Name:


* Student's First Name:


* Address:


* City/Town:


* State:


* Zip Code:


* Home Phone (w/ area code):


* Student Cell Phone (w/ area code):


* Email:


* High School:


Current Grade:

I am a Returning Student:

Student's Current G.P.A.:

Previous PSAT Scores (if applicable):

Critical Reading:   Writing Skills:   Mathematics:

 

Previous SAT Scores (if applicable):

Critical Reading:   Writing Skills:   Mathematics:

 

SAT Class Preference:

Place:   Day:   Time:

Eight 3-hour classes = 24 hours

* Guarantees and Conditions:
Please read the following paragraph carefully. You must check the I Agree box or your registration will not be considered valid.


I Agree

How did you hear about us: