17-18 ACT/SAT Prep Class Registration Form
Please complete this form to officially register for an ACT/SAT prep class! Allow 24-48 hrs for your registration to be processed.
Child's Last Name: *
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Child's First Name: *
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Guardian's Last Name: *
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Guardian's First Name: *
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Guardian's Phone Number: *
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Guardian's Email Address: *
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Emergency contact name: *
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Emergency contact phone number: *
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Child's School District/County *
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Child's School Name *
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Child's Grade: *
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Planned Test Date (Students can attend multiple classes if applicable.): *
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Payment Method: *
Please type your name below indicating your agreement to the following statement: Although we highly suggest your attendance to support your child's success, we at M & M cannot guarantee that your child will obtain a certain score by attending this class. *
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Please list any other pertinent information for our records:
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