GIFTED LEARNING ACT PREP

GIFTED LEARNING ACT PREP ACADEMY

REGISTRATION FROM
Please Note: The Official ACT Prep Guide 2026–2027 is the required textbook for this intensive. The book is not included in the course tuition. Parents/guardians must purchase the textbook prior to the start of class.

Prior to the first session, students must also complete two ACT practice exams and submit their completed answer keys. These assessments will be used to identify each student's strengths, weaknesses, content gaps, and areas for strategic improvement, allowing instruction to be targeted and purposeful from the beginning of the intensive.
Parent/Guardian Information
Parent/Guardian Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Preferred Method of Communication
Student Information
Student Name

First NameLast Name
Student Age
Student Grade
Student Email, if applicable
Student Phone, if applicable
Current Educational Setting

Other
Has the student taken the ACT before?
If yes, most recent ACT score?
ACT Composite Score
English Score
Math Score
Reading Score
Science Score
Date of most recent ACT test taken

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Intended Test Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Has the student taken an ACT practice test recently?
If yes, list latest practice score
Which areas does the student find most challenging?
What is the student's primary goal for ACT preparation? (ie. Increase overall score, reach a specific score, improve a particular section, build confidence etc.)
Parent/Student Acknowledgments
Emergency/Contact Information

First NameLast Name
Relationship to Student
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Final Confirmation

I confirm that the information provided is accurate and that I am registering the student for the Gifted Learning ACT Prep Academy course.
Parent/Guardian Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
My Products
prevnext( X )
Total ACT Package
$550.00 Quantity



Session 1: September 14 | 5 - 7 PM
Introduction and Assessment

$115.00 Quantity



Session 2: September 21 | 5 - 7 PM
$115.00 Quantity



Session 3: September 28 | 5-7 PM
$115.00 Quantity



Session 4: October 5 | 5 - 7 PM
$115.00 Quantity



Session 5: October 12 | 5 - 7 PM

$115.00 Quantity



Total

$0.00
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please use PayPal Checkout as Preferred Method
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty:

GIFTED LEARNING ACT PREP ACADEMY

Please Note: The Official ACT Prep Guide 2026–2027 is the required textbook for this intensive. The book is not included in the course tuition. Parents/guardians must purchase the textbook prior to the start of class.

Parent/Guardian Information

Student Information

Final Confirmation

My Products

Please use PayPal Checkout as Preferred Method

Payment Methods