ACT PREP REGISTRATION
Student Name
First Name
Last Name
School
Grade
Parent/Guardian
First Name
Last Name
Cell Phone
-
Area Code
Phone Number
Email
example@example.com
Academic Area
ACT Prep
Has the student taken the ACT before?
Yes
No
If Yes, what is their current score?
What college does the student want to attend?
Appointment
Submit
Should be Empty: