In order for your child to attend the 2022-2023 Entrance Exam Program, you must PAY IN FULL 

$1075 for Belen 6th and HSPT

$1475 for Belen 9th - HSPT Combo Class  

CLASSES ARE FULLY PREPAID AND     NON-REFUNDABLE  NON-TRANSFERABLE  NO EXCEPTIONS 

If you miss a class one week, then there is no makeup for that session and no refund for that class. 

This is a commitment so please make sure that you choose a day of the week that you will not miss class. 

PAYMENT MUST BE MADE BEFORE THE CLASS BEGINS OR YOUR CHILD CAN NOT ENTER THE CLASS.  

NO EXCEPTIONS FOR ANYONE UNDER ANY CIRCUMSTANCES.  

Name of student:   ____________________________________________________

Name of school:  _____________________________________Grade_____________

Parent/Guardian: ______________________________________________________

Cell: (m)__________________________ (f) ______________________________

Address: _____________________________________________________________

____________________________________________________________________

Email: _______________________________________________________________

Email: _______________________________________________________________

RECOMMENDED BY: ___________________________________________________________ 

Parent's Signature: _________________________ Date: _________________