Middle School Entrance Test Registration - Saturday, February 5, 2022

Required

Student's Namerequired

First Name

Middle (optional)

Last Name

Student's Current Grade:required

5th

6th

7th

Date of Birthrequired

Must contain a date in M/D/YYYY format

Parent Email Address:required

Primary Phone:required

Must contain only letters, numbers and spaces

Street Address:required

City/Town:required

State:required

Zip:required

Student's Current School:required

Parent Name:required

First Name

Last Name

Testing Fee:required

Fee ($50.00)

Please select a payment typerequired

Credit Card

Billing Addressrequired

Address

City

State/Province

Country

Zip/Postal Code

Cardholder Namerequired

First

Last

Expirationrequired

Month

Year