Think Smart ACT/SATand Summer Camp

REGISTRATION FORM 2016-2017

now with MATH AND SCIENCE!

Full Name: ______

FirstMILast

Address: ______

Street Address City Zip Code

Parent(s)/Guardian(s) Name: ______

Cell Phone: ______E-mail address(es): ______

What year is the student: soph juniorsenior& What school does he/she attend: NV MV WV other ______

SUMMER CAMP COST $50 for each class

X / Section / Date / Time
Section R.1 / Reading: August 17, 2016 (W) / 5:00-8:00 p.m.
Section CE.1 / College Essay: August 17, 2016 (W) / 6:00-9:00 p.m.
Section CE.2 / College Essay: September 28, 2016 (W) / 6:00-9:00 p.m.

ACT ENGLISH, READING, and WRITING class session (Put an X next to your chosen section):

Section 1F
$175/$205 (w/bk) / September 7 (W) 3-HOUR SESSION
(national test: Sept. 10, 2016/PSAT: mid-Oct.) / 5:30-8:30 p.m.
Section 1G
$175/$205 (w/bk) / October 5, 12, 19 (W) 6-HOUR SESSION
(national test: Oct. 22, 2016/PSAT: mid-Oct.) / 5:30-7:30 p.m.
Section 1H
$175 ($205 w/ bk) / December 7, (W), 3-HOUR SESSION
(national test: December 10, 2016) / 5:30-8:30 p.m.
(2017) / Section 2A
$175/$205 (w/bk) / February 2, 7,and 9 (Th/Tu/Th) 6-HOUR SESSION
(national test: February 11, 2017) / 5:30-7:30 p.m.
Section 2B
$175/$205 (w/bk) / March 15, 22, and April 5 (W) 6-HOUR SESSION
(nat’l test: April 8, 2017; SAT: TBA) / 5:30-8:30 p.m.
Section 2C
$175/$205 (w/bk) / April 13 (Th) 3-HOUR SESSION *date subject to change (school testing: TBA; SAT: May 6, 2017) / 5:30-8:30 p.m.
Section 2D
$175/$205 (w/bk) / May 31 (W) 3-HOUR SESSION
(national test: June 10, 2017) / 5:30-8:30 p.m.

ENGLISH, READING, and WRITING FEES: Please include check for $175, (+$30 additional for the class text, which retails for $32.95) payable to Think Smart. Registration forms accepted up to two days before the start of each section. Please return registration and fee to Think Smart; PO Box 9651; Naperville, IL60567.

All classes meet in B137 OR B237 at Neuqua Valley High School. Please note that no refunds will be given. Changes in sections are based on availability. If you need to change classes (or would like to sit in on additional ACT classes for free review), please email Gillian Schneider at or call 630-922-6967 at least ONE WEEK before the start of the next session. There will be a $10 charge for students who do not reserve a spot for reattending at least ONE WEEK before the free review session.

This program is neither endorsed nor sponsored by Indian Prairie School District 204.

I have read Think Smart’s policies (above); I understand and agree to abide by these policies.

Signature ______Date ______

(parent or guardian)

NOTICE

Please note changes with the addition of the MATH/SCIENCE section: If you have previously attended our ACT sessions, you MUST register separately for the new math/science section (for $100 fee). The book is the same. If you only wish to register for one section or the other, that is the only section you may attend for free review. Please email Gillian Schneider at with any questions.

ACT MATH and SCIENCE class session (Put an X next to your chosen section):

Section 1G-MS
$100 / October 17 (M)
(national test: Oct. 22, 2016/PSAT: mid-Oct.) / 5:30-8:30 p.m.
Section 1H-MS
$100 / December 5, (M)
(national test: December 10, 2016) / 5:30-8:30 p.m.
Section 2A-MS
$100 / February 6 (M)
(national test: February 11, 2017) / 5:30-8:30 p.m.
Section 2B-MS
$100 / March 20 (M)
(nat’l test: April 8, 2017; SAT: TBA) / 5:30-8:30 p.m.
Section 2C-MS
$100 / April 10 (M) *subject to change
(school testing: TBA; SAT: May 6; ACT: June 10, 2017) / 5:30-8:30 p.m.

MATH/SCIENCE FEES: Please include check for $100, (+$30 additional for the class text, which retails for $32.95) payable to Think Smart. Registration forms accepted up to two days before the start of each section. Please return registration and fee to Think Smart; PO Box 9651; Naperville, IL60567.

Please complete the following

FEE TOTALS / COST / AMOUNT PAID
Summer Camp / $ 50
English/Reading/Writing / $175
Math/Science / $100
Book / $ 30
TOTAL

office use only

______email confirm$______ERW MSBK RC CECck# ______

______roster ______previous ERWother: