Private Tutoring Registration Form


Instructions: Please fill out this private tutoring registration form and submit to Lentz & Lentz SAT Prep.

* = Required Information

* Student's Last Name:


* Student's First Name:


* Parent's Last Name:


* Parent's First Name:


* Address:


* City/Town:


* State:


* Zip Code:


* Best Contact Number (w/ area code):


* Alternate Contact Number (w/ area code):


* Email:


* High School:


Current Grade:

Previous PSAT Scores (if applicable):

Critical Reading:   Writing Skills:   Mathematics:

 

Previous SAT Scores (if applicable):

Critical Reading:   Writing Skills:   Mathematics:

 

Student's Current G.P.A.:

* 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