NCSU Online Study Skills Course
PLEASE NOTE THAT THIS IS NOT THE REGISTRATION FORM FOR OUR IN-PERSON STUDY SKILLS CAMPS! This form is for the online, self-paced course ONLY!

Registration for Middle and High School Courses
Please enroll my child in the Online Study Skills course that I have selected below.  I understand that I must pay the $150 fee in full before my child can be enrolled.  
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Email *
Child's first name *
Child's last name *
Child's preferred name
Child's age *
Child's current grade 
If enrolling during the summer or between academic years, please select the grade that your child is going to be in once school restarts. 
 *
What school does your child attend?
Which of the following most accurately describes your child? (check all that apply) *
Required
Street Address *
City *
County *
State *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Phone Number *
Parent/Guardian Email: *Note that this will be the email you will use to access course content *
Second Parent/Guardian First Name
Second Parent/Guardian Last Name
Second Parent/Guardian Phone Number
Second Parent/Guardian Email
I would like to sign my child up for the following course: *
I would like my child to begin this course on the following date: *
MM
/
DD
/
YYYY
How did you hear about the Study Skills camp?  Check all that apply *
Required
Please click on the link below to review the Study Skills FAQ:
https://psychology.chass.ncsu.edu/school/psyed/StudyFAQ.php
Please click on the link below to review our Notice of Psychologists’ Policies and Practices
https://cdn.chass.ncsu.edu/sites/psychology.chass.ncsu.edu/school/documents/Notice%20of%20Psychologists%20Policy%20and%20Practice.pdf
Please click on the link below to review the Study Skills Program Expectations and Parental Permission Form:
https://cdn.chass.ncsu.edu/sites/psychology.chass.ncsu.edu/school/documents/SS%20Parent%20Expectations%20no%20Signatures.pdf
Please click on the link below to review the Online Programming Release and Waiver of Liability Form:
https://cdn.chass.ncsu.edu/sites/psychology.chass.ncsu.edu/school/documents/Online%20Programming%20Release%20and%20Waiver%20of%20Liability%20for%20Minor%20Participants.pdf
Please use the information provided above to register my child for the Online Study Skills Course. By typing my name below, I acknowledge that I have read the Notice of Psychologists’ Policies and Practices, the Study Skills FAQ, the Study Skills Program Expectations Form, and the Online Programming Waiver of Liability. By entering my name below, I agree to adhere to the terms and conditions outlined in these documents and consent for my child to participate in this course. I also understand that my payment is subject to the Clinic’s payment and refund policy, as outlined in the Study Skills FAQ document. *
Remember, to finalize your registration, please visit https://go.ncsu.edu/paymyclinicbill to pay the $150 fee. Note: There is a 2% convenience fee added to the total.
To pay the fee now, click here: https://go.ncsu.edu/paymyclinicbill 
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