Online Assessment – Registration Page

Enter your information below and your payment information for the Placement Test ($75.00).

  • Upon completion of the form below, we will contact you within 1-2 days to schedule the online assessment and provide the testing materials.
  • Once we ascertain your child’s scoring information he/she will be eligible for placement. At that time, you will be advised of the group information.

    • Student Information

    Student Name
    Gender
    Birth Date
    Home Address
    Zip
    Home Phone
    Email Address
    Parent 1 / Guardian
    Work Phone
    Cell Phone
    Parent 2 / Guardian
    Work Phone
    Cell Phone
    Emergency contact: (Name)
    Relationship
    Phone

    Credit Card Information

    Credit Card
    CVV
    Expiration Date
    Postal Code

    $75 Fee for Placement Test 

    HSC Summer Remote Learning Program

    • I hereby enroll the child named above for an online placement test, to be scheduled 1 to 2 days upon payment.

    I have read the above statement, and the terms and conditions listed, and agree to all terms indicated.

    By typing my name I agree to the above with my digital signature.