Registration Form

Name: __________________________________________________ Phone/Email: _________________________/_________________________ Course Name: __________________________________________________ Course Date: __________________________________________________ Course Location: __________________________________________________ Your School/Grade: _________________________/_________________________ Guidance Counselor: __________________________________________________ Reference Code: Web Site How you heard? Friend      Mailer      Internet    Guidance   Other    (Circle One)

24 Hours: $295 Beat the SAT: $80 Beat the PSAT: $80

Tear this off and keep it as a schedule for your other classes     Test Date Courses Offered Starting Date Days Time Where* October 9th   24 Hours   August 26th   Monday and Thursday 6 - 8 pm   Great Neck Middle    October 9th Beat the SAT October 2nd   Saturday 9 am - 3:30 pm Great Neck Middle October 15th Beat the PSAT October 9th Saturday 9 am - 3:30 pm Great Neck Middle November 6th    Beat the SAT October 30th  Saturday 9 am - 3:30 pm Great Neck Middle December 4th 24 Hours October 18th Monday and Thursday 6 - 8 pm Great Neck Middle December 4th  Beat the SAT November 30th and December 1st Tuesday and Wednesday 6 - 9 pm Great Neck Middle January 22nd Beat the SAT January 15th Saturday 9 am - 3:30 pm Great Neck Middle March 12th 24 Hours January 31st Monday and Thursday 6 - 8 pm Great Neck Middle  March 12th Beat the SAT March 5th Saturday 9 am - 3:30 pm Great Neck Middle May 7th Beat the SAT April 30th   Saturday 9 am - 3:30 pm Great Neck Middle June 4th  24 Hours April 25th Monday & Thursday 6 - 8 pm Great Neck Middle  June 4th Beat The SAT May 31st & June 1st     Tuesday & Wednesday 6 - 9 pm Great Neck Middle

Checks should be made payable to 24hundred. Mail your Registration Form and check to: 24hundred 2496 Falcon Crescent Virginia Beach, VA 23454 For more info: glenn.laferriere@gmail.com