Your space will only be held with a deposit (See below)
I. Student Information
Student's Name:
Parent's Name:
Mailing Address:
Home Phone: Fax:
Cell Phone: E-mail:
Name of High School currently attending:
Current High School Year: Date of Birth:
How did you hear about the Pinnacle/BHA College Admissions Boot Camps 2012?:
II. College Admissions Boot Camps 2012 you will be attending:
Session: Dates:
Cost for College Admissions Boot Camps: $7,500
Non-Refundable Deposit; $1,500 (Required to reserve your space)
Amount due on or before July 10, 2012: $6,000
III. Agreement of Registrant:
I have read and understand information presented about College Admissions Boot Camps 2012, this registration form and refund policies.
I understand that the College Admissions Camp 2012 is for high school juniors or international students who will be rising seniors or international student (transfers) this summer with interests in the college admissions process to Ivy League, highly selective and competitive colleges and universities. I expect to be in attendance (except for unexpected emergencies) for my registered Boot Camp Session.
Signature: Date:
(Please note: If a student is under the age of 18, parental approval of participation in a Boot camp session must be given.)
IV. Reservation, Payment, Refund and Discount Policies
RESERVATION: To reserve your place for College Admissions Boot Camps 2012, please mail deposit and Registration Form to: Pinnacle Educational Center, 245 Amity Rd, Ste. 203, Woodbridge, CT 06525
DEPOSIT: Make Check or Money Order in the amount of $1,500 per College Admissions Boot Camps 2012, payable to: Pinnacle Educational Center. Please note on check the registered session.
BALANCE DUE: Make Check or Money Order in the amount of $6,000 per College Admissions Boot Camp 2012 payable to: Pinnacle Educational Center. Please note on check the registered session.
REFUND POLICY: Cancellation in writing before your scheduled Boot Camp - full refund of balance due ($6,000). Cancellation after your scheduled Boot camp - 50% refund.
DISCOUNT: Discount of 10% ($750) if total cost of Boot Camp is paid prior to June 1, 2012.
