Lewisburg Area High School PSAT Registration
This form is for students registering for PSAT exams (which includes either the 11th grade PSAT NMSQT administered in the Fall or the 10th grade PSAT 10 administered in the Spring).
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email Address
example@example.com
Student Name(s)
First Name
Last Name
Grade
Student
9
10
11
12
Select your Corresponding Fee:
*
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next
( X )
PSAT Registration Fee
$
18.00
Quantity
1
2
Lunch Status
Paid
Free/Reduced
Item subtotal:
$
0.00
Payment Information
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Signature
*
Submit
Should be Empty: