Free Math & Reading Placement Testing and Parent Orientation

Please fill out the following information to sign up for a FREE math and reading placement test at Kumon.  
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Parent Name (First & Last) * * *
Parent E-mail address *
Child/Children's Name * * *
Grade * *
 School name * *
Cell Phone Number * * *
How did you hear about us? *
Please select one from the following. *
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