Curreri College Counseling

Registration Form for the One Stop College Shop

Session:	South Bay Orange County
Student's Name:
Street Address:
City:
State:		Zip:
Phone Number:
Cell Phone Number:
Email Address:
Fax Number:
High School:
Parents' / Parent's Name :
Fill out below if parents' information is different from student's information
Street Address:
City:
State:		Zip:
Parents' Phone Number:
Parents' Cell Phone Number:
How did you hear about us?

To register your student, please complete our registration form and include your non-refundable $500 deposit to:

Curreri College Counseling, INC
713 ½ N Lucia Ave, Redondo Beach, CA 90277

Please make checks payable to Curreri College Counseling, INC

OR You may post a credit card payment or bank transfer through Paypal.

Questions? Call us at (310) 613-5926 or send an email to currericollegecounseling@yahoo.com