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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 cindy@achievementtesting.info to your Contacts to avoid emails going to Spam.
Parents' home phone:
Parents' cell phone:   Texting available?
School Name:
Teacher:

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:

 

Fees:

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

$250 Online Conceptual Physics 23-24
$250 Online Computer Science Principles 23-24

Discounts: Discount names:
Total: Please note amount.  The total will be confirmed and an invoice will be sent.
 
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