In-Person Registration Form

For remote administration, please see Remote Administration Registration

Desired tester:
Desired test:
Test date & time:  
Test location:
Parent/guardian Name:
Parents' email:
Note: Please add to your Contacts to avoid emails going to Spam.
Parents' home phone:
Parents' cell phone:   Texting available?
Name of school:

Full mailing address including city and state:
Student 1
    Full Name: Male    Female   

Date of Birth: Grade:

Student 2

    Full Name: Male    Female
Date of Birth: Grade:

Student 3

    Full Name: Male    Female  

Date of Birth: Grade:



Woodcock-Johnson IV (check Basic plus desired additions):
$90 Basic
+ $10 Basic Writing Skills
+ $10 Phoneme-Grapheme Knowledge
+ $5 Oral Reading
+ $20 Reading Comprehension
+ $10 Math Problem Solving
+ $20 Academic Knowledge
+ $50 Broad Oral Language
+ $15 Phonetic Coding

$60 Stanford (bubble-in) in Franklin NC on May 21, 2021

Discounts: Discount names:
Total: Please note amount.  The total will be confirmed and an invoice will be sent.
Submission indicates your consent to use of this information for test administration purposes.  See Privacy for more information.