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*PROGRAM REGISTRATION

**SEMINAR RESERVATION

IN THE MEDIA

LEADERSHIP CONFERENCE

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1-888-777-1988

M - F (8am - 7pm) & Saturday (8am - 3pm)
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Step 1: Please fill out the application. Step 2: We will contact you via email.
*The fields marked with () are required.**
*	NAME:
*	EMAIL (MUST):
*	Phone:
*	Address:
*	Grade? (e.g.10th)
*	Father's Name:
*	Father's Phone:
*	Mother's Name:
*	Mother's Phone:
*		Any Medical Condition? If yes, please explain:

*		Which Program Are You Interested?
		SAT I - 10 Weeks SAT I - 22 Weeks SAT I - 48 Weeks Ivy Junior - 10 Weeks Ivy Junior - 22 Weeks Ivy Junior - 48 Weeks The Ivy Review Study Club 1:1 College Application Coaching 1:1 Academic Consultation Tutoring
*		Please Choose a Location:
		Chula Vista Cupertino Davis Dublin Elk Grove Folsom Foster City Fremont Los Angeles Burlingame San Diego San Jose
*		1) How did you learn about us? 2) What is your GPA? 3) What is your PSAT Scores? 4) What is your SAT I Scores? 5) What is your SAT II Scores? 7) How long have you lived in the U.S.? 8) List top two extra curricular activities?

*Our office will be closed on all U.S. National holidays. **The Ivy Review retains its rights to cancel or change the schedules, courses and locations. All fees and schedules are subject to change without notice.

Cancellation Policy: You may receive full refund less $100 administration fee before student attends the first day of the session. No refund will be issued after first class. No make up or credit for missed class will be issued.