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Franciscan Community Center 214 West 97th Street New York, New York 10025 (212) 932-8040 ext. 39 Fax (212) 665-2780 Website: www.fccnyc.org e-mail: fccny@aol.com SAT PREPARATION COURSE REGISTRATION FORM
First Name:__________________________ Last Name:__________________________
Address:__________________________________________________________________
City:_______________________ State:_________________ Zipcode:_______________
Date of Birth:________________
Parent/Guardian Name:___________________________________________________
Home Phone:______________________ Business Phone:______________________
Cell Phone:________________________ Email address:_______________________
School Attending:_________________________________________________________
Grade: __________
Have you taken any SAT prep courses? If yes, where:_________________________
Have you taken the test?_______________
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