Bsd405.org



| Art History |(please print) |

|Biology (exp) (lab fee) |Name       |

|Biology (new) (lab fee) |Home Address       |

|Calculus AB (exp) |City       St       Zip |

|Calculus AB (new) |Hm ph       Cell       |

|Calculus BC |Email       |

|Chemistry (exp) (lab fee) |School       |

|Chemistry (new) (lab fee) |Sch addr       |

|Computer Science A |City       St       Zip       |

|Computer Sci Principles |School #       Your ext.#       |

|Economics (macro/micro) |My school is Private Public District       |

|English Language (exp) |I heard about BSD API via Previous Attendee College Board Other       |

|English Language (new) |I have taught this AP subject before Yes No |

|English Literature (exp) | |

|English Literature (new) |CONFIRMATION for your registration will be sent to the email listed above. If you do not receive a confirmation via |

|Environ Science (lab fee) |email within 7 days, please check your spam box and then contact us to make sure we have received your registration. |

|European History | |

|French Lang & Culture |No Shows will be charged full price |

|Government Comparative | |

|Government US |Cancellation Policy: A full refund of tuition will be made if written cancellation is received by June 3, 2016. |

|Human Geography (exp) |After June 3rd, cancellations are subject to a $50 cancellation fee. Sessions with fewer than ten participants may |

|Human Geography (new) |be cancelled and registrants would receive a full refund. |

|Japanese Lang & Culture | |

|Music Theory | |

|Physics 1 (lab fee) | |

|Physics 2 (lab fee) | |

|Psychology | |

|Span Lang & Culture (exp) | |

|Span Lang & Culture (new) | |

|Statistics (exp) | |

|Statistics (new) | |

|Studio Art (exp) (lab fee) | |

|Studio Art (new) (lab fee) | |

|US History (exp) | |

|US History (new) | |

|World History (exp) | |

|World History (new) | |

|Pre-AP* Sessions: | |

|Pre-AP*: English | |

|Pre-AP*: Math | |

|Pre-AP*: Science (lab fee) | |

| | |

| |Mail registration and make check payable to: BSD API |

| |(Bellevue School District Advanced Placement Program © Institute) |

| |PO Box 90010 Bellevue, WA 98009-9010 Fax: 425-456-4176 |

| |Registration for 4-day session (by April 1st, 2016)….............................................$795 |

| |Registration for 4-day session (by June 3rd, 2016)…...........................................$835 |

| |Late fee/Change of course fee (if registering/changing courses after June 3)..$50 |

| |Lab fee for Sciences (Bio, Envtl Science, Physics, Pre-AP* Science)……………..$25 |

| |Lab fee for Science (Chem)……………………………………………..………………$35 |

| |Lab fee for Studio Art (new/exp)………………………………………………………..$10 |

| |Monday-Bellevue Botanical Gardens Walk (nonrefundable after June 3)…………$10 |

| |Tuesday-Snoqualmie Falls Walk (nonrefundable after June 3)……………….…....$10 |

| |Wednesday-Downtown Kirkland Waterfront Visit (nonrefundable after June 3)…..$10 |

| |SPU collect $225 for college credit at the Institute. TOTAL (Must include all fees) $      |

| | Method of Payment |

| |PO#       (A copy of the PO must be accompany registration) |

| |Credit Card Receipt #       Check#       |

| |ONLY if Credit Card has outside US Billing Address: |

| |Visa Master Card Discover |

| |Credit Card #       |

| |Three digit verification code on back of card       Exp. Date       |

| |Name on credit card       |

| |This credit card is: my own school’s school district’s other |

| |Credit card billing address       |

| |City       State       Zip      |

| |Additional Info at: |

| |Website: api Email: api@ |

| |Phone: 425-456-4161 or 1-877-456-4399 Fax: 425-456-4176 |

| Events: $10 each | |

|More info at: api | |

|Clock Hours: | |

|Before Institute: | |

|Pre-register for clock hours online at | |

|api | |

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