Grade 11 ACT Refusal Form
If you do not want your child/ward to take a college reportable ACT, you have the right to complete this form.
Student Date of Birth
Street Address, City/State/ZIP
High School Student Attends
Signature Required If You Do Not Want Your Child to Take the Free State ACT
PLEASE READ THE FOLLOWING CAREFULLY:
TYPING MY NAME BELOW SERVES AS MY SIGNATURE EXPRESSING REFUSAL OF THIS FREE OPPORTUNITY FOR MY CHILD/WARD TO TAKE A COLLEGE REPORTABLE ACT EXAM.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Little Rock School District.