Form

8 Week ACT Test Prep Class
Sundays, 10am-12pm, starting April 14th

Student's Full Name*

Parent / Guardian's Full Name*

Parent / Guardian's Email*

Parent / Guardian's Phone Number*

Please indicate if your student qualifies for Extended Time:*

Regular Time

Extended Time

Have they taken an ACT practice test within the last 6 months?

Please indicate by selecting yes:

Yes

I have some questions and would like the Test Prep Director to contact me

Yes