Facebook Twitter Instagram Email

Exam Registration form

- Admissions

The maximum number of form submissions has been reached. This form is currently not available.
- Complete all fields with the student's information, unless indicated otherwise.
- Test Date REQUIRED 12/14/2019 at 9:00 am (make-up test) Please fill out this field.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Elementary school REQUIRED Please fill out this field. Please enter valid data.
- Parish / Church affiliation REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Parent's Name(s) REQUIRED Please fill out this field. Please enter valid data.
- Parent's Email REQUIRED Please fill out this field. Please enter an email address.
- In the unlikely event of an emergency on test day, please list two people we should contact. Please provide names & phone numbers.
- First emergency contact (name & phone number) REQUIRED Please fill out this field. Please enter valid data.
- Second emergency contact (name & phone number) REQUIRED Please fill out this field. Please enter valid data.
- Does the student require any academic or physical accommodations to be successful on test day? If so, please describe here. A member of GCPHS staff will contact you.
- Exam Fee25.0
Total:

Submit

Pay Now

Pay Later