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Achievement Test Registration
Simply fill out form and submit fees to register for the Achievement Test!
9
Questions
Begin Application
HIPAA
Compliance
1
Verify Identity
*
This field is required.
Please provide your student's Child ID # OR your driver's license # here.
Child ID OR your driver's license #
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2
Student's Full Name
*
This field is required.
First Name
Middle Name
Last Name
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3
Have you already paid for this test?
Yes
No
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4
Student's Current Grade Level
*
This field is required.
3
4
5
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7
8
9
10
11
12
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12
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5
*
This field is required.
I understand that Family Christian Academy does not provide refunds for services.
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6
Student's Date of Birth
*
This field is required.
/
Month
Day
Year
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7
Parent/Guardian Email
*
This field is required.
We will send an instruction email on the morning of the test.
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8
Requested Test Date
Online: April 10th-11th
Online: April 18th-19th
Online: April 23rd-24th
In-person: Nashville Campus: April 23rd-24th (LIMITED SLOTS, please call for availability BEFORE selecting)
Other
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9
Requested Test Date (Other)
*
This field is required.
The test will be extended to the following business day if not completed the first day.
-
Date
Month
Day
Year
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10
Checkout
*
This field is required.
Card Processing Fee will be added to the total. No refunds.
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Quantity:
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ORDER SUMMARY
Card Processing Fee
USD
Subtotal
USD
Total cost
USD
Achievement Test: Online
$
100.00
+
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Payment Methods
Credit Card
First Name
Last Name
Cash App
After submitting the form, you will be redirected to the Cash App Pay to complete the payment process.
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11
Invoice ID
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12
Signature
*
This field is required.
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