REGISTRATION FOR RLA PROGRAMS


Registration information will be submited by this form
Type in the information and press 'CLICK TO REGISTER'
Print the confirmation page and mail a $100 deposit payable to The Rutledge Learning Academy to:
Rutledge Learning Academy
PO Box 236
Jamison, PA 18929

Thank you! We look forward to the opportunity to work with your student! If any additional information is
required during the registration process, please feel free to call us at 215-343-9642.
 
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Student's Name Parent or Guardian
Graduation year
School
Home Phone #Parent's Work Phone #
Parent's E-mailStudent's E-mail
Address
City, State, Zip,,

Which courses would you like to register for? (Please checkbox)

SAT - Fall 2017
SAT - Winter 2017
SAT - Summer 2018
Check here to sign up for RLA Tutoring Services
Please explain what the needs are for the student being tutored.
     

How did you learn about the
Rutledge Learning Academy?
Please note any special circumstances we should be aware or regarding your child's learning.
Please list names, and grades of siblings of the child registering