Registration Form - Loudoun Test Prep

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Then crush it.

“Optimism is faith that leads to achievement. Nothing can be done without hope and confidence.”
– Helen Keller

Select availability for {Student’s Name:13.3}’s registration:
Student Availability for Course Times
Creating class groupings using our GroupSmart® algorithm is one of the most important parts of our program and a major facet in our collective success.
- You must select 3 or more schedule options (4 or more for ACT courses) when your student is available for classes to ensure proper placement.
- NOTE: You are not selecting class times, you are informing us of the times your student is available for class.
- Any change requests regarding availability selections must be received by 5pm on the Sunday before the program start date. See confirmation email for further details.
- Classes meet 4 hours each week (2 hours Math, 2 hours Reading/Writing).
- We attempt to schedule these across two separate days per your selections below.
- Because class groupings are so critical to our mutual success and involve careful planning, it is unlikely that any schedule changes can be honored. Any change requests AFTER the schedule has been sent will be subject to a $200 rescheduling fee IF they can be honored.
Unsure of your schedule at this time?
- Select Later
You may select your availability later, but we need your selections as soon as possible for scheduling purposes – no later than .
Selections
NOTE: Select a minimum of 3 options to ensure proper placement – See above. *If you have any comments/exceptions to the possible timings you selected, please make a note in the Comments/Questions section below. Also, while we will do our best, it is unlikely that we can accommodate special scheduling requests. If your student’s schedule is highly restricted, individual tutoring may be a better option for you.
Selections (NOTE: Select a minimum of 3 options to ensure proper placement – See above)*
- – Fill Out Other Fields –
Comments/Questions (e.g. about schedule, your student, etc.)
Please note that while we will do our best, it is unlikely that we can accommodate special scheduling requests. If your student’s schedule is highly restricted, individual tutoring may be a better option for you.
(OPTIONAL) Summer weekday daytime availability
Due to the popularity of our summer program, we will attempt to run some weekday daytime classes. Please select all summer availability (July/August). *Selections here do not count towards the minimum of 3 times needed in the previous section.
(OPTIONAL) Summer weekday daytime availability – Due to the popularity of our summer program, we will attempt to run some weekday daytime classes. Please select all summer availability (July/August).
- – Fill Out Other Fields –
Selections
NOTE: Please select at least 4 options to ensure proper placement – See above. *If you have any comments/exceptions to the possible timings you selected, please make a note in the Comments/Questions section on a following page.
Selections (NOTE: Please select at least 4 options to ensure proper placement – See Above)*
- – Fill Out Other Fields –

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Additional information for {Student’s Name:13.3}’s registration:
Current School Information
High School*
Enter High School*
High School Graduation Year*
Enter Graduation Year*
Which Math class is your student currently enrolled in?*
Enter Math class*
Students must complete one full semester of Algebra II prior to enrolling in our Small Group SAT/ACT Test Prep course*
- I confirm that my student will have completed at least one full semester of Algebra II prior to the first day of this course.
We have found that the math material is too foreign to students who do not have a minimum of one semester of Algebra II prior to beginning our classes.
Previous Tests
Has the student taken the PSAT, SAT or ACT's before?*
- Yes
- No
Offical PSAT Reading Score (if available)
Offical PSAT Math Score (if available)
Offical SAT Reading Score (if available)
Offical SAT Math Score (if available)
Has the student taken an SAT or ACT prep course in the past?*
- Yes
- No
Please list company name, program details and dates of past prep courses.*
Other Information
Does your student have any food allergies or medical issues about which we should be aware?*
- Yes
- No
Please describe here:*
How did you hear about Loudoun Test Prep?
(Optional) We'd love to thank thank them. Can you provide the names?

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Terms and agreements for {Student’s Name:13.3}’s registration:
Acknowledgement Section
In this next section, we ask you to acknowledge and accept some of the important points of our program that people often overlook, but are critical to a successful relationship going forward.
Scheduling, Payments & Refunds, Logistics, and Publicity
I have read and accept the LTP provisions and policies outlined in the Small Group SAT/ACT Test Prep Logistics and Expectations page. By clicking “I accept” below, I understand that:
- The remaining balance will be automatically billed on {Balance Due Deadline:189}.
- NO refunds for any portion of my deposit or tuition will be issued following receipt of the balance of the tuition, which is due the Thursday immediately prior to the first class of the program.
- Given each new class “week” starts on Saturday and classes are formed based on diagnostic test scores, LTP cannot guarantee makeup classes. Makeups will only be considered by submitting a request with at least 72 hours advance notice.
I understand LTPs Scheduling, Payments & Refund, Program Logistics & Details, and Publicity Policies*
- I accept
Scheduling Process
I understand that class groupings are critical to the success of the program and that it is unlikely I can change the schedule AFTER the schedule is distributed. IF it can be changed, I will incur a $200 rescheduling fee. I understand that if my student has a restrictive schedule, individual tutoring may be a better choice for us.*
- I accept
Offical SAT/ACT Registration
I understand that I am responsible for registering my student for the offical SAT and/or the offical ACT via their respective websites.*
- I accept
Registration websites: SAT: https://www.collegeboard.org/ and ACT: https://act.org/
Homework and Binders
I understand that homework is a critical part of this course and I will ensure that my student is completing his/her homework for and bringing the course binder to every class.*
- I accept
Results
I understand that each student’s result is directly dependent on the level of effort and time they commit to preparing for the SAT/ACT. In addition, I understand that Loudoun Test Prep cannot guarantee score improvement as each student and each exam is unique as explained here.
I understand LTPs Scheduling, Payments & Refund, Program Logistics & Details, and Publicity Policies*
- I accept
On the next page you will complete your registration and process the $250 registration fee (credited toward the course fee). You will also receive an e-mail from info@loudountestprep.com with further logistics and steps for taking the mandatory in-person diagnostic test. If you do not receive this e-mail, please check your Junk/Spam/Promotions folder.

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Walk in prepared.
Then crush it.

Selected Program

Parent/Guardian Information

Student Information

Select add-ons for {Student’s Name:13.3}’s registration:

Add-ons

Included Add-ons

Select availability for {Student’s Name:13.3}’s registration:

Student Availability for Course Times

Selections

(OPTIONAL) Summer weekday daytime availability

Selections

Diagnostic Tests for {Student’s Name:13.3}’s registration:

Diagnostic Tests

Additional information for {Student’s Name:13.3}’s registration:

Current School Information

Previous Tests

Other Information

Terms and agreements for {Student’s Name:13.3}’s registration:

Acknowledgement Section

Scheduling, Payments & Refunds, Logistics, and Publicity

Scheduling Process

Offical SAT/ACT Registration

Homework and Binders

Results

Review Order

Create An Account

Payment Information

Test Prep

Tutoring

About

Logistics

Stay Connected

Walk in prepared.Then crush it.

Selected Program

Parent/Guardian Information

Student Information

Select add-ons for {Student’s Name:13.3}’s registration:

Add-ons

Included Add-ons

Select availability for {Student’s Name:13.3}’s registration:

Student Availability for Course Times

Selections

(OPTIONAL) Summer weekday daytime availability

Selections

Diagnostic Tests for {Student’s Name:13.3}’s registration:

Diagnostic Tests

Additional information for {Student’s Name:13.3}’s registration:

Current School Information

Previous Tests

Other Information

Terms and agreements for {Student’s Name:13.3}’s registration:

Acknowledgement Section

Scheduling, Payments & Refunds, Logistics, and Publicity

Scheduling Process

Offical SAT/ACT Registration

Homework and Binders

Results

Review Order

Create An Account

Payment Information

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About

Logistics

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Walk in prepared.
Then crush it.