ACT/SAT registration form
Please help us by registering on-line with the correct information.
Location *
Please let us know at which location you want to take our course.
Student First Name *
Your answer
Student Last name *
Your answer
School *
Your answer
Current (or next semester) status *
Full mailing address *
Your answer
Student email *
We use this to communicate assignments and provide handouts
Your answer
Parent email *
We use this to communicate registration issues and to keep you informed.
Your answer
Student cell phone
Your answer
Parent cell phone
Your answer
What was your highest ACT composite score?
Your answer
What was your highest SAT composite score?
Your answer
Comments
Is there anything particular you would like to let us know?
Your answer
How did you hear about our ACT course? *
or: who can we thank for your referral?
Your answer
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