COURSE REGISTRATION

ENROLLMENT FORM

To register, please fill out the fields below and we will send you a confirmation email.

Please note, it is the responsibility of parents and students to fill out applications and register for official tests.

Student Name *
Student Name
Parent/Guardian Name *
Parent/Guardian Name
Phone *
Phone
Address *
Address
Schedules contain exact dates and times. Please enroll in NDP Crash Course on their website. Classes not listed may either be cancelled or full. There are Phoenix and Scottsdale location options. Select all options that apply.
Schedules contain exact dates and times. Classes not listed may either be cancelled or full. Sessions take place at our Scottsdale office, Phoenix office, or Embassy Suites Biltmore. Practice test takes place at Embassy Suites Biltmore. No make-up sessions or practice tests offered.
Schedules contain exact dates and times. Classes not listed may either be cancelled or full. No make-up sessions/practice tests offered.
Schedules contain exact dates and times. Classes not listed may either be cancelled or full. No make-up sessions/practice tests offered.
Terms & Conditions *
We understand that plans may change. In the event that it is necessary to cancel your appointment, please call or email us as soon as possible; we require 24 hour notification. If you contact us less than 24 hours, you will forfeit your fee for that session. Payment is expected in advance or at the time of each session. We accept payment in the form of cash, credit, or check made out to Pimentel Academic Services. We can also securely store a credit card to charge at the time of each session. By selecting "agree," you hereby acknowledge and understand our terms and conditions, and you have been given full opportunity to discuss the implications with a representative of Pimentel Academic Services.

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Included in the total cost is a $100 non-refundable deposit. This secures a spot in one of our courses.