Online Course Registration • Palermo Prep

- Step 1 of 4

Parent or Guardian Name *

First

Last

Parent or Guardian Email *

Parent or Guardian Phone *

Qty of Students *

Student 1 Name *

First

Last

Student 2 Name *

First

Last

Student 3 Name *

First

Last

Student 4 Name *

First

Last

Student 5 Name *

First

Last

Student 6 Name *

First

Last

Course Information

Course(s) of Interest *

SAT
ACT
Both SAT & ACT

Please select the prefered SAT course(s) you would like to register for *

January 11 through February 3 2022
February 8 through March 3 2022
March 8 through March 31 2022
April 5 through April 28 2022
May 3 through May 26 2022

All online SAT courses are $500 for each student

Please select the prefered ACT course(s) you would like to register for *

January 10 through February 2 2022
February 7 through March 2 2022
March 7 through March 30 2022
April 4 through April 27th 2022
May 2 through May 25 2022
May 30 through June 22 2022

All online ACT courses are $500 each student

Group Course Information

For 2 or more students

Please select the prefered SAT course(s) you would like to register for 2 students *

January 11 through February 3 2022
February 8 through March 3 2022
March 8 through March 31 2022
April 5 through April 28 2022
May 3 through May 26 2022

All online SAT courses are $500 for each student

Please select the prefered ACT course(s) you would like to register for 2 students *

January 10 through February 2 2022
February 7 through March 2 2022
March 7 through March 30 2022
April 4 through April 27th 2022
May 2 through May 25 2022
May 30 through June 22 2022

All online ACT courses are $500 each student

Please select the prefered SAT course(s) you would like to register for 3 students *

January 11 through February 3 2022
February 8 through March 3 2022
March 8 through March 31 2022
April 5 through April 28 2022
May 3 through May 26 2022

All online SAT courses are $500 for each student

Please select the prefered ACT course(s) you would like to register for 3 students *

January 10 through February 2 2022
February 7 through March 2 2022
March 7 through March 30 2022
April 4 through April 27th 2022
May 2 through May 25 2022
May 30 through June 22 2022

All online ACT courses are $500 each student

Please select the prefered SAT course(s) you would like to register for 4 students *

January 11 through February 3 2022
February 8 through March 3 2022
March 8 through March 31 2022
April 5 through April 28 2022
May 3 through May 26 2022

All online SAT courses are $500 for each student

Please select the prefered ACT course(s) you would like to register for 4 students *

January 10 through February 2 2022
February 7 through March 2 2022
March 7 through March 30 2022
April 4 through April 27th 2022
May 2 through May 25 2022
May 30 through June 22 2022

All online ACT courses are $500 each student

Please select the prefered SAT course(s) you would like to register for 5 students *

January 11 through February 3 2022
February 8 through March 3 2022
March 8 through March 31 2022
April 5 through April 28 2022
May 3 through May 26 2022

All online SAT courses are $500 for each student

Please select the prefered ACT course(s) you would like to register for 5 students *

January 10 through February 2 2022
February 7 through March 2 2022
March 7 through March 30 2022
April 4 through April 27th 2022
May 2 through May 25 2022
May 30 through June 22 2022

All online ACT courses are $500 each student

Please select the prefered SAT course(s) you would like to register for 6 students *

January 11 through February 3 2022
February 8 through March 3 2022
March 8 through March 31 2022
April 5 through April 28 2022
May 3 through May 26 2022

All online SAT courses are $500 for each student

Please select the prefered ACT course(s) you would like to register for 6 students *

January 10 through February 2 2022
February 7 through March 2 2022
March 7 through March 30 2022
April 4 through April 27th 2022
May 2 through May 25 2022
May 30 through June 22 2022

All online ACT courses are $500 each student

Class Total

$ 0.00

Online Course Prequalification Information

Do you have interest in one-on-one online tutoring for your student?

If you would like to learn more, please visit this link for more information.

Are you open to taking a diagnostic test? *

We suggest doing this beforehand to understand where the areas the student may need to focus on.

Is this your student(s) first time taking an online course with Palermo Prep? *

Introductory Contact Information

Please Provide the best time to reach you and preferred phone number.

Introductory Call: Best time of day? *

Introductory Call: Week or weekend? *

Weekdays
Weekends

Best Phone Number to reach you? *

Payment

Total for online course(s)

$ 0.00

Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Credit Card Information *

Card Number

Expiration

Security Code

Payment processing done through Authorize.Net

Agree to our Policies and Procedures *

I understand and accept the policies and procedures as identified.

For more information on the policies and procedures of our online courses and online tutoring click here. Visit our FAQ page for Frequently Asked Questions. For other immediate concerns, contact us directly at (412) 999-0369.