Tell Us About Yourself Student Information Form Please complete the following form and SUBMIT Parent First Name Parent Last Name Student First Name Student Last Name Address City State Zip Student Cell Number: Home/Parent Phone: Parent Email Student Email Student has taken (check all that apply) PSAT SAT ACT None How did you hear about Straing "A" Academy? (Check all that apply) Friend School Flyer Google Search Facebook Instagram YouTube Twitter Which of the following do you have? Facebook Account Snapchat Instagram YouTube Twitter Account Internet Access A Home Computer I am Registering for: Select One College Coaching Single Session College Coaching Ongoing Monthly Subscription SAT TEST Prep Training Current School Are you a Mathnasium referral? Yes No SUBMIT THANK YOU!