Mail -In Registration Form

Carolina College Prep’s  Registration Form

Method of Payment

Total Payment Amount: $________

 

Check Number:  _______________

(If paying by Check)

 

Please make all checks payable to

“Carolina College Prep.”

Print, Complete, & Mail (You can also register by phone)

If paying by Credit Card (Please check type above):

 

__________________________________________________________________________

Credit Card Number                                                                 Expiration. Date

 

__________________________________________________________________________

Signature of Card Holder

 

______________________________________________________________________________

Student’s Name                                                             Age                                     Graduation Year

 

______________________________________________________________________________

Complete Home Mailing Address (including Zip Code)

 

______________________________________________________________________________

Course Desired (e.g.: Course #1 Spring 2005) (See Master Schedule for Offerings)

 

______________________________________________________________________________

Parent’s Name (for minor’s)

 

______________________________________________________________________________

Phone Number                                         E-Mail Address                                        High School

Complete this form, and the  SAT Course Covenant and/ or Speed Reading Course Covenant. Then return entire packet [with credit card information or check (payable to “Carolina College Prep”)] to:

Jonathan Wilson, CFP

Carolina College Prep

101 Silver Creek Drive

Lexington, SC 29072

 

Are You Having Trouble With This Form? 

 

You can also Register By Phone!

 

Just call the office at 803/957-0459

Or email me at jwilson@carolinacollegeprep.com

Take Our SAT Prep Course FREE of Charge!

 

Any student that qualifies for the “SAT Fee Waiver” can enroll in our $395 Private SAT Course free of charge (less the cost of our course syllabus - which is $15).  You qualify for the fee SAT fee waiver (and free admission to our course) if you are on a free or reduced lunch plan at your school cafeteria (or would qualify to be on this plan). 

 

If you are in this situation, Print, and Fill out this Registration form, and then have your guidance counselor call our office to complete your registration, as they must verify your “waiver status” for us.

 

Our Office Phone & Fax Number is:

803/957-0459