SAT registration form page – Uchenna Academy

SAT Registration Form

This form should be completed to register in Uchenna Academy SAT Prep courses.

Payment can be made by sending an e-transfer to info@uchenna.ca or make a payment on-site prior to the start of the course. Payment is required prior to course start date.

If you need additional information, send us an email at info@uchenna.ca

The application form will take about 5 minutes to complete.

Student Name (First, Last)

Date of Birth

Current Grade

Student Phone Number

List any medical issues the student has we should be aware of (ex. epi-pen, asthma puffer, nut allergy)

Student Email

Parent/Guardian Name (First, Last)

Parent Address

Parent Phone Number

Parent Email Address

AUTHORIZATION TO CAPTURE AND USE PHOTOGRAPHS

I consent to the use of photographs of my child as part of Uchenna Academy’s programs. These photos may be used on Uchenna Academy and their professional affiliates’ websites. The photos will serve the following purpose(s): to engage other youth into the various programs developed by the Uchenna Academy staff, raise awareness about Uchenna Academy and their courses, programs and initiatives. I agree that I shall have no claim against Uchenna Academy, their professional affiliates or against anyone accessing this product, whether online, in print or by any other means.

Name of person that completed this form

SAT Registration Form

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