Achievement Testing Form

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 #
2
Student's Full Name* This field is required.
First Name
Middle Name
Last Name
3
Have you already paid for this test?
Yes
No
4
Student's Current Grade Level* This field is required.
3
4
5
6
7
8
9
10
11
12
5
* This field is required.
I understand I am registering for a service to be performed on specific dates selected. This is a reservation for services. Family Christian Academy does not provide refunds for these services.
6
Student's Date of Birth* This field is required.
Month
Day
Year
7
Parent/Guardian Email* This field is required.We will send an instruction email on the morning of the test.
8
Requested Test Date 2026* This field is required.
Online Students April 22nd-23rd ($100)
On Campus Students: April 22nd & 23rd ($100)
Other, Pick your own date, private proctor ($150)
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
10
Payment Method.* This field is required.
Debit/Credit Card
11
Checkout* This field is required.Card Processing Fee will be added to the total. No refunds.
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My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
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ORDER SUMMARY
Card Processing FeeUSD
SubtotalUSD
Total costUSD
Achievement Test: Online or On Campus

$100.00Edit
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Achievement Test: Pick Your Own Dates
$150.00Edit
Back
Enter Coupon
Total cost $0.00
Credit Card
First Name
Last Name
12
Invoice ID
13
Signature* This field is required.
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