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Location of the prep class? (Hoover, Spain Park, John Carroll, or Mtn Brook):
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What is the prep class ID number? (In the class title after the #):
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Student's Name (First and Last):
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Student's School:
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Student's Graduation Year:
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Parent's or Guardian's Name:
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Primary Contact e-mail Address:
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Secondary e-mail address (optional):
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Primary Contact Phone Number:
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Secondary Contact Phone Number (optional):
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Are you an HTP Alum? (must have paid $350 for prior ACT Class) :
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Are you paying tuition with this registration? (Your spot is not reserved until payment is received)
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How will you pay tuition? (online through this website, mail check or other):
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If other, please explain.
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Current GPA (estimated):
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Prior ACT, SAT, or PLAN score (if known):
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How did you hear about us? (Brochure, School, Friend, Internet)
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Comments or Questions?
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