Long Island Test Prep Center for SAT, ACT, AP and Regents

Serving Grades Pre-K Through College And Beyond

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Home
About Us
Academic Year
Summer Hub
Test Prep Hub
- Test Prep Programs
- ACT/SAT-ELITE
- ISEE/SSAT
- CHSEE/TACHS
- Quarterlies
- Midterms
- Finals
- Foreign Language Checkpoints
- Regents
- AP
- IB
- GRE
- MCAT/DAT
- LSAT
- GED
College Hub
Career Hub
Driving Hub
- Driving Hub
Parent Hub
- Parent Workshops
  - Executive Functioning Adult Workshop
  - Mahjongg Workshop
Micro School
- HwH Academy
Enroll
Join Our Team
- Employment Opportunities
- Staff Forms
Blog

HwH Registration Form - Students

Homework Hub Registration Form

(Required For All Students)

Homework Hub Registration Form

Student's First Name:

Student's Last Name:

Gender:

M

F

Other

Today's Date:

Home Address:

City:

State:

Zip Code:

Date of Birth:

Grade:

Name of School:

School District (if applicable):

Free Text

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#1 Legal Guardian's First Name:

#1 Legal Guardian's Last Name:

Relationship to Student:

Email Address:

Cell Number:

Office Number:

Home Address (If different from student):

City:

State:

Zip Code:

Free Text

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#2 Legal Guardian's First Name:

#2 Legal Guardian's Last Name:

Relationship to Student:

Email Address:

Cell Number:

Office Number:

Home Address (If different from above):

City:

State:

Zip Code:

Free Text

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Which guardian do you want to use as the primary contact?

Free Text

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$40 Registration Fee For New Students Paid?

Y

N

N/A

Personalization Form Completed and Signed?

Y

N

N/A

Credit Card Authorization/Release Form Completed and Signed ?

Y

N

Declined

PayTrace Account Created?

Y

N

Declined

Alternative Payment Form Completed and Signed (For students who do not have a credit card on file and have not purchased a pre-paid discounted package)?

Y

N

N/A

Office Policy Signed?

Y

N

Home Policy Signed?

Y

N

N/A

Online Policy Signed?

Y

N

N/A

Can your child's photo be displayed on our social media accounts and/or on our website?

Y

N

Dismissal Release Form Completed and Signed?

Y

N

N/A

Free Text

All information above is kept confidential by HwH.

Thank you for submitting your Registration Form!

~Homework Hub

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