Class Registration Form | APLUS Learning Center, Rockville

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2020 Summer Camp

2020 Spring

GT Math/Humanities

Prep - SAT/PSAT

Prep - 3rd/5th/8th

Enrichment - Math

Enrichment - Writing

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2020 Summer Camp

Date:	Monday, June 22, 2020 ~ Friday, August 28, 2020
Contact Info:	301-838-9668

Student's First Name:

Student's Last Name:

School Name:

Grade in 9/2020:

Address:

City:

State:

Zip Code:

E-mail (Parent's):

Parent's Name:

Cell Phone:

Evening Phone:

How did you find us?:

What level of writing completed?:

Highest level of math completed in school?:

Comments & Notes:

AM Camp:

Student should select one box (includes both Math and English/Critical Reading & Writing) which will be from 09:00AM - 12:00PM, Mondays through Fridays.

PM Camp:

Student should select one course for each period. Period 1 (P1): 01:30 - 03:00pm, (P2): 03:00 - 04:30pm, Mondays through Fridays.

Evening Programs:

SAT starts at 5:45pm, Pre-Calc at 6pm.

	E1 - Pre Calc (Gr 8-10) - M-Th, 7/27-8/27
	E2 - SAT Prep (Gr 8-11) - M/W/F, 8/03-8/28
	E3 - SAT Boot Camp (Gr 11-12) - M-F, 8/17-8/28
	E4 - College App Essay Boot Camp M/W/F, 8/17-8/28

Back-to-School Warm-up Camp:

	AM Session: 8/24 - 8/28, 9:00-12:00PM
	PM Session: 8/24 - 8/28, 1:30-04:30 PM
	Full Day: 8/24 - 8/28, 09:00 - 04:30PM

Registration Fee

Please select your option and quantity for this registration.

	X	= USD$
	X	= USD$
	X	= USD$
	X	= USD$
	X	= USD$
	X	= USD$
Total		= USD$

Payment Information

Payment Method

Credit Card

By submitting this registration I authorize APLUS to charge the amount on my credit card provided and I agree with APLUS's terms of service, including the refund/withdrawal policy.
The credit card will not be charged until APLUS verifies the class registration information.

Credit Card Type:

Credit Card Number:

All digits must be numbers. No dashes or spaces, please.

Card Holder's Name:

Expiration Date:

Card Security Code:

** The card code is a security code that is printed on a credit card¡¦s signature panel in reverse italics, or following the full card number on the front of the card.

indicates required field.

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