The Petersen Academic GroupEnroll in the Spring/Summer Program
The Petersen Academic Group Services

Fall/Winter Registration

Student's name:
Current School & Grade:
Parent's name:
Street address:
City:
State:
Zip code:

Indicate programs you are interested in:

Test Prep
Study Skills
Reading
Math
 Critical thinking
French
Spanish
Other:

Comments for Instructor:

Indicate your preferred choice of contact (either):

Home Telephone Number:
Cell Phone Number:
Personal E-mail Address:
Home Fax Number: