PSAT CRASH COURSES AT KWELLER PREP

2012 PSAT CRASH COURSE REGISTRATION  Call Today! 1 (800) 631-1757 2012 PSAT CRASH COURSE  REGISTRATION FORM PLEASE DO NOT JUST "WING -IT" on the PSAT! There are millions of dollars in college scholarships at stake! Prepare with the best! QUEENS 104-40 Queens Blvd Suite 1F Forest Hills NY 11375 (Queens Blvd and 69 avenue) 1(800) 631-1757 MANHATTAN 445 Park Avenue Suite 9A New York, New York, 10022 (Park Ave & 57 Street) www.KwellerPrep.com Please mail check for $999 (Payable to Kweller Prep) and completed registration form to Forest Hills address by October 1, 2012 or call 1 (800) 631-1757 to register by phone with credit or debit card. Space is Limited.   Tuition includes: ü  3-Day Crash Course (October 6, 7 & 8) 10:00 am to 6:00 pm ü   2-Day Review Course (October 13, 2012 & October 14, 2012) ü  Books, review sheets, snacks, and materials (TI Inspire Calc extra)   PSAT TEST DATES: Wednesday October 17, 2012 & Saturday October 20, 2012 Student First Name: Parent First Name: Student Last Name: Parent Last Name: School Currently Attending: Student Home Address: Parent Home Address:  City/ State: City/ State: Student cell:                                     Parent Cell: Student E-mail: Parent E-mail:

Initial Here:

__I (student) understand and agree that I am required to voluntarily deactivate/suspend my facebook account one month prior to taking the PSAT. I also will limit text messaging, phone calls, BBM, & IMing.

__I understand and agree that I am expected to memorize 10 (ten) new advanced vocabulary words each

night at least one month prior to taking the PSAT while in the Kweller Prep Program.

__I understand and agree that I will complete all math and English homework assignments independently each night.  I understand and agree that I am expected to continue memorizing 10 (ten) new vocabulary words until test day, even after the Kweller Prep PSAT Crash Course ends.

STUDENT SIGNATURE __________________________________________Date: __________2012

PARENT SIGNATURE ____________________________________________Date:__________ 2012

About Kweller Prep: Designed for the busy student, Kweller Prep offers unsurpassed tutoring and advanced test preparation services. We offer: one-one-one, small-group, Skype-online, at-home and in-center tutoring. Our service is strict, thorough, and effective. Call 1 (800) 631-1757