ACT for Grade 12 Oct. 6: Opt-Out Form
This form is for senior students/families wishing to opt-out of the ACT on Tuesday, October 6.

All senior students are automatically registered for the test unless they complete this opt-out form. The ACT is not a required test.

It is not strictly necessary to complete this form to opt out of the test. However, it does help us in planning for the number of students, classrooms, and test proctors we will need on October 6.

If you have questions, please contact AVHS Testing Coordinator Bill Blatzheim at (952) 431-8202 or william.blatzheim@district196.org.
Student FIRST Name *
Student LAST Name *
Student ID *
Parent/Guardian Name *
Opt Out Confirmation: By selecting "No" and submitting this form, you are confirming that the student listed above will not participate in the ACT at AVHS on October 6. The student will not have a space reserved for them to test.
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This form was created inside of Independent School District 196.