Registation for the ACT/SAT coaching at Badri Center
(Willowbrook, IL Location)

(From January 12^th, 2019 - May 4^th, 2019 on Saturdays from 11:30 AM - 2:30 PM)
(No Class on March 23^rd, 2019 for Sring Break)

Parent Information:

* LastName		* FirstName
* Address
* City		* State		* zip
Work Phone		* Home Phone
* Parents email		Would you like to Volunteer	(# of weekends you can volunteer)
Comments

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Please choose a payment method:

Paying by Check		Paying by Cash		Paying by CC
(For paying by CC option, you will be taken to the credit card payment page via paypal.)

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Student Information
Student1:

* Student Lastname		* Student Firstname		Age
* Grade	Grade 8 Grade 9 Grade 10 Grade 11 Grade 12	* School		* Students email
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Comments

Student2:

* Student Lastname		* Student Firstname		Age
* Grade	Grade 8 Grade 9 Grade 10 Grade 11 Grade 12	* School		* Students email
collegeplans
Comments