ACT Boot Camp Registration
Please complete this registration survey to enroll in the ACT Bootcamp. Registration will close June 27, 2022.

When:  July 5-6 through July 11-14   Time: 8:30 - 12:30    Where:  Tylertown Elementary School
Sign in to Google to save your progress. Learn more
Name *
Address *
Parent/Guardian name *
Phone number *
Emergency Contact and Phone Number *
Which high school do you attend? *
Do you need bus transportation? *
What grade level will student be in 2022/2023 school year? *
Have you taken the ACT before, and if so, when? *
If you are scheduled for an ACT exam, when is your test date?
Clear form
Never submit passwords through Google Forms.
This form was created inside of Walthall County School District. Report Abuse