Register —
248-647-8378
to register or ask questions
Please
note Sunday classes fill up fast
Printable Registration Form Bloomfield Hills Location -PDF
Printable Registration Form Grosse Pointe Location - PDF
Enrollment Form
Student's Name:___________________________________________
Parent Name:_____________________________________________
Home Address: ___________________________________________
City, State, Zip: ___________________________________________
High School:_________________________ Year of Graduation:_____
Home Phone: ____________ E-mail address:____________________
Course Option ( see course descriptions ):
|
PSAT/SAT 12 ACT 12 SAT Gold ACT Gold SAT Individual ACT Individual |
SAT 7 ACT 7 SAT Math SAT Verbal SAT Writing College Admissions Counseling |
Class Number ( see schedule ):________________________________
Payment
A $100 refundable deposit is required to reserve a seat in class.
The balance is due the first day of class. To receive the discount on package prices students must pay the full package price by the first day.
Credit card payment
Please bill my credit card ( Visa, Mastercard, Discover) in the amount of $100.
Credit Card Number:____-____-____-____
Expiration Date: __/__/____
Signature of card holder: _____________________________________
Today's Date: __/__/____
Check payment. Check Number: _____
I have enclosed a refundable $100 deposit to reserve a space in class. Please make check payable to College Quest Educational Services
Mail this enrollment for to:
College Quest Educational Services
E4111 Andover Road, Suite 205
Bloomfield Hills, MI 48302