Exam Registration Form

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Please use the form below to register for the examination.
= Required fields

 

Start by selecting a date for taking the exam. All exams are scheduled from 8:00 a.m. until Noon.




 

Student Information

Parent/Guardian Name:
First Name:
Last Name:
Current School:
Current Grade:
Home Address  
Street Address:
City:      Zip:
Phone: (with area code)
Alt. Phone
(mobile or parent's work ):
(with area code)
Student Email Address:
Parent Email Address:
How did you
hear about the test?

 


The exam fee is $15.00, which you may pay in cash or check the morning of the exam.

Use the box below to send your
comments or questions:

 

For more information, contact Katie Niemczura,
Director of Admissions

216.382.2110 x 248

niemczurak@reginahigh.com