In-Person Registration Form

For remote administration, please see Remote Administration Registration

Desired tester:
Desired test:
Test date & time:  
Test location:

Parents' email:
Note: Please add to your Contacts to avoid emails going to Spam.
Parents' home phone:
Parents' cell phone:   Texting available?
School Name:

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 Iowa Test on April 27, 2023 at Brookstone Church in Weaverville

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.