EmailMe Form - Parkview Academic Services Registration

Student Name *

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

I am registering my child for the following class: *

6th Grade Math & ACT Prep $1,100

Algebra I & Math ACT Prep $1,500

7th Grade Math & ACT Prep $1,100

Algebra II & Math ACT Prep $1,500

Advanced Math & Math ACT Prep $1,800

Calculus & Math ACT Prep $1, 500

I would like to pay tuition:

One payment

Monthly payments

If you chose one payment, we will invoice you for the full amount. If you select monthly payments, we will send you instructions to create a FACTS account and set-up monthly autodraft.

I would like to register my child for math tutoring ($40 per hour)

Weekday between 4:30 - 9:30 PM

Weekend by apointment

Parent Name *

First Last

Phone

### - ### - ####

Parent Email *

Comments or questions?