SAT & ITBS Testing Information

Download Form - MS Word

Center For Neuro Development

PO Box 99369 
Lakewood, Washington 98496-0369  
Phone (253) 581-1588    

PO Box 9346
Pueblo, Colorado 81008-9346

Phone (719) 423-6463

Keys for unlocking ADHD, LD, Autism and More!

E-Mail:      maggie@centerforneurodevelopment.com                   maggie@homeschoolhelps.com
                  maggie@specialhelps.com
                  mdail@academynorthwest.net
     Web Site:       www.centerforneurodevelopment.com
                               www.homeschoolhelps.com
                               www.specialhelps.com
                              
www.academynorthwest.org

Parent(s) Name:__________________________________________________________________________ Address________________________________________________________________________________ City/Zip________________________________________________________________________________

Telephone #____________________________________________________________________________

E-Mail address_________________________________________________________________________


SAT-Date ____________ITBS Date _______________ (Schedule with Maggie before ordering materials from BJ Testing and Evaluation Service @ 1 800 845-5731
or Fax: 1 800 525-8398.  E-mail:  testing@bju.edu)

Grade of Test                     Student's Name                                      Birth Date                                  Grade

 

_________________________________________________________________________________________

 

_________________________________________________________________________________________

 

_________________________________________________________________________________________

 

_________________________________________________________________________________________

 

_________________________________________________________________________________________

 Note: Please put an asterisk (*) by the name of any child who has never had an achievement test before.  If your child has been diagnosed with Attention Deficit Disorder/Attention Deficit Hyperactive Disorder) please indicate with an "ADD" or “ADHD” by his/her name.

Payment: 

Small Group Testing - minimum of 5 students:

Number of Students in a family ______ x $35.00=   

                                                          Or

Discount for three or more students in a family to be tested _____x $30.00=

Individual Sessions by appointment:

Number of Students to be tested ______ x $50.00 =                                                                                    

                                                          Or

10% Discount for three or more children tested ________ x $45.00 =

Total (Enclosed)   Please make checks Payable to: Ronnie Dail

__________

__________

__________

__________

__________

                                                                              

For your convenience we now accept Credit Card payments.

We accept VISA, Master Card and Discover for those who desire to use that method of payment.

 

Refunds for cancellations will be given up to 14 days prior to the first day of testing.

You may reschedule with At Least One - Week Advance Notice.

 

 Without Prejudice UCC 1-207
Common Law Copyright © 1967 & 1991