PSAT Registration Form
Please use this form to sign up to take the PSAT on Wednesday, October 16th at Western Alamance High School. Testing will occur during the school day. Note: The cost of the test is $17 which MUST be paid to Mrs. Radford in the Counseling Office by September 16th - Please bring cash, exact change!

October 16th, the PSAT date, is an early release day. Students taking the test should arrange for after school transportation in the event that the testing session runs past 12:15 p.m.

If your student would like to register for the PSAT and is/would be approved for a fee waiver, please contact Mrs. Moore at
Student Last Name *
Your answer
Student First Name *
Your answer
Grade *
I understand that I must complete this form and pay the $17 test fee in order for Western High School to order a test booklet for me to test on October 16th. I understand that if I do not pay the fee (in cash, exact change) by September 16th to Mrs. Radford in the Counseling Office, I will NOT be able to test. *
Never submit passwords through Google Forms.
This form was created inside of Alamance Burlington School System. Report Abuse - Terms of Service