Placement Testing Registration- Streams of Hope

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Name

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Email

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Phone

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Address

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Student Grade:

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Please select one option.

1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th

Student Diagnostic Tests are $45 for each student. Please choose the payment option below for the number of students:�
1 student- $60
2 students- $115
3 students- $170
4 students- $210
5 students- $280
If you are testing more than 5 children, please reach out to a teacher to discuss.�

Payment

1 student ($60) 2 students ($115) 3 students ($170) 4 students ($210) 5 students ($280)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

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