Standardized Testing

Parent Name*

Parent Email*

Parent Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of students registering:*

1
2
3
4

Consent*

I agree to the testing policy.

I understand that the testing fee is non refundable.

I understand that this test is administered in a group setting and that my child must be able to participate in that setting without creating a distraction for others. During testing hours, I will be available at the phone number specified below and will come get my child immediately if a problem arises. In this case, my child’s test will be taken back and no refund given.

Student 1 Name (Last, First)*

Student 1 Birthday (mm/dd/year)*

Student 1 Grade Level for Testing*

Student 1: Ethnicity*

African-American
Hispanic
Native American
Asian
Pacific Islander
None of these

Student 1: Standard or Full Battery?*

Standard Battery $65
Full Battery $75

Student 1: Deerstream Student?*

Yes
No

Student 2 Name (Last, First)

Student 2: Birthday (mm/dd/year)

Student 2: Grade Level for Testing

Student 2: Ethnicity

African-American
Hispanic
Native American
Asian
Pacific Islander
None of these

Student 2: Standard or Full Battery?

Standard Battery
Full Battery

Student 2: Deerstream Student?

Yes
No

Student 3 Name (Last, First)

Student 3: Birthday (mm/dd/year)

Student 3: Grade Level for Testing

Student 3: Ethnicity

African-American
Hispanic
Native American
Asian
Pacific Islander
None of these

Student 3: Standard or Full Battery?

Standard Battery $65
Full Battery $75

Student 3: Deerstream Student?

Yes
No

Student 4 Name (Last, First)

Student 4: Birthday (mm/dd/year)

Student 4: Grade Level for Testing

Student 4: Ethnicity

African-American
Hispanic
Native American
Asian
Pacific Islander
None of these

Student 4: Standard or Full Battery?

Standard Battery $65
Full Battery $75

Student 4: Deerstream Student?

Yes
No

Total Amount Due

$0.00

Payment*

I will mail a check to Deerstream, PO Box 3203, Chapel Hill NC 27515
Please invoice me and I will pay with electronic check.

Test registration payment is non-refundable. Test registration is not complete until payment is received.

Standardized Testing

IOWA Test Registration