Group Standardized Testing

Registration Form



   

   

   

   


   


   

   

   

   



              Parent’s Names: _________________________________


              Phone Numbers ______________________________________


              Address: _____________________________Zip ____________


                Email: ____________________________________________


                Cell or emergency number: ______________________________


                Please list any known medical conditions that may affect
                             your child during testing (e.g. allergies, diabetes, etc.)  


                 Alternate emergency contact person:  

                     _______________________ Phone ____________________


    Please mail this form and the payment  with 2 business-sized
(4 X 9½) stamped self-addressed envelopes to:
Christie Miller 2818 Martin Road, Bellingham, WA  98226

(Due by April 15, with a late fee of $5 per family after that date)


Total fee enclosed __________________

 WHA Members = $32 for the first child –  $28 for each additional child

            WHA Non-members = $38 for the first child –   $32 for each additional child

     Add $10 to the fee is you choose to take the Science and Social Studies portions of the test.  

                          $5 per family LATE FEE if registration not received by April 15.