Eastside Education

Today's Date *

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DD

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Online Class (10 sessions) *

SAT English Prep 6/24-8/26, Mon @7-8:30pm $670

AMC8 stretch 6/26-8/28, Wed @7-8:30pm $540

AMC10 stretch: 6/27-8/29, Thu @7:30-9:00pm $540

AMC12 stretch: 6/24-8/26, Mon @7-8:30pm $540

Student's Name *

First Name

Last Name

Parent's Name *

First Name

Last Name

Parent's Phone 1 *

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Parent's Phone 2

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Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country