Boot Camp Registration Form BOOT CAMP REGISTRATION Student Name* First Last Gender*FemaleMaleNon-Binary/OtherPreferred PronounsStudent Email* Student CellSchoolGraduating Year20192020202120222023 PARENT/GUARDIAN INFORMATIONPrimary Parent* First Last Cell*Email* SELECT YOUR BOOT CAMPIf interested in both SAT and ACT prep, please select both.*Spring Break ACT Boot CampSummer ACT Boot CampSummer SAT Boot CampPlease indicate your first preference for Summer ACT Boot Camp:*ACT Boot Camp: June 24th-29thACT Boot Camp: July 1st-6thACT Boot Camp: August 19th-24thPlease indicate your first preference for Summer SAT Boot Camp:*SAT Boot Camp: July 22nd-27thSAT Boot Camp: July 29th-August 3rdSAT Boot Camp: August 5th-10thSAT Boot Camp: August 12th-19thPlease indicate your first preference for Spring Break ACT Boot Camp:*ACT Boot Camp: March 27th-30thOfficial Test Date in 2019 or 2020 (if applicable) PAYMENT INFORMATIONSummer ACT Boot Camp Early Registration Tuition ($100 off)* Price: $1,145.00 Summer SAT Boot Camp Early Registration Tuition ($100 off)* Price: $1,145.00 Spring Break Boot Camp Early Registration Tuition ($50 off)* Price: $625.00 Summer Boot Camp Tuition* Price: $1,245.00 Spring Break Boot Camp Tuition* Price: $675.00 Payment Options*ACH Debit/Cash/CheckCredit Card (incl. processing fee)Payment Options*ACH Debit/Cash/CheckCredit Card (incl. processing fee)Payment Options*ACH Debit/Cash/CheckCredit Card (incl. processing fee)We'll invoice you by the end of the next business day. To reserve your spot in Boot Camp, please tender payment within 24 hours of invoice receipt.Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name By clicking "Enroll" below you agree to be added to our monthly e-newsletter, from which you may unsubscribe at any time.CANCELLATION POLICY: Cancellation of your Boot Camp enrollment must be made two (2) weeks in advance of the first day in order to receive a full refund. If you terminate a Boot Camp enrollment less than two (2) weeks prior to the first day, you may transfer enrollment to another Boot Camp or receive a private tutoring credit in the amount of the Boot Camp tuition to be used by the end of 2018.TOTAL (incl. tuition + fees) $0.00 This iframe contains the logic required to handle Ajax powered Gravity Forms.