Coast 2 Coast - Match Maker

CLIENT CONTRACT FORM
Your Information

Date:

Phone:

Student's Full Name:

Current Grade:

High School:

Mother's Name:

Father's Name:

Street Address of Student:

City:

State:

Zip:

Home Phone (Parents):

Home Phone (Student):

Student Cell Phone :

Fax #:

E-mail Student:

E-mail Mother:

E-mail Father:

May we email you in a group email? Yes: No:

How were you referred to our service?

Please Read and Sign: The undersigned hereby contracts services from Wendy Gilbertson and Susanne Condon (AKA Coast 2 Coast College Admissions), in accordance with the conditions and fees set forth below for the academic year of 2007-2008 (ending 6/30).

	Freshman/Middle School Consultation: $395.00	Date of Consultation:
	Sophomore Consultation: $395.00	Date of Consultation:
	Junior Consultation: $395.00	Date of Consultation:
	Senior Consultation: $595.00	Date of Consultation:
	Senior Package: $3500.00	Date of Consultation:
	Transfer Student Consultation: $595.00	Date of Consultation:
	Transfer Student Full Package: $3500.00	Date of Consultation:

Focused application/essay work, extensive summer internship and job research, athletes, musicians, actors, students with special needs or learning disabilities and essay review for scholarship applications may require additional fees. Students needing one on one assistance with filling out applications will be billed $90.00/application. I understand that Wendy Gilbertson and Susanne Condon (AKA: Coast 2 Coast College Admissions) will use their best efforts to assist and direct my student in the college planning/application process. I understand that Wendy Gilbertson and Susanne Condon will edit, but not write my student's essay(s). I understand that my student is solely responsible for meeting his/her application deadlines. I understand that Wendy Gilbertson and Susanne Condon may express an opinion concerning the likelihood of admission, but they do not guarantee the student's admission to any particular college or university, as admission decisions are made solely by the university.

Signature. Type in name:		Date contract is signed:

Fees due and payable to Coast 2 Coast College Admissions at time of consultation. After 60 days, a late fee of 1% per month will be charged.