Mock ACT Exam Registration
Thank you for your payment. Please complete and submit the information below to complete the registration process. Please call SurferMath at (707) 255-7873 if you have any questions.

SurferMath will send you a reminder email prior to your test date.

Date of your Mock Exam *
Student's First Name *
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Student's Last Name *
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School of Attendance *
Grade Level *
Student email *
Used to share score reports. SurferMath does not share personal contact information.
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Parent/Guardian Name *
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Primary Phone Number *
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Parent Email Address *
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