Reading Skills Class Registration

Reading Skills Class Registration

Reading Skills Class Registration

Don't let their minds fall behind.
1. Parent's First Name
3. Parent's Last Name*
4. Parent's Phone Number*
5. Parent's Email Address*
example@example.com
7. Street Address*
8. City*
Country*
9. State or Region*
10. Postal Code*
11. Student's First Name*
12. Student's Last Name
13. Age*
16. Current Grade Level*
17. Current School*
Second Student (if applicable)

First NameLast Name
Grade Level
Age
School
Registration Payment (You can choose pay later when you select PayPal.) Early bird pricing of $99 ends on April 30th.*
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Registration
For the Reading Skills Classes

$199.00

Registration for second student
Second child is discounted to $50

$50.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty: