PSAT Test Registration Form
TEST DAY:  WEDNESDAY, APRIL 27, 2022
Registration Opens - Monday, February 14
Registration Closes - Friday, February 25

Take the PSAT 10 to measure readiness for college, access scholarships, and practice for the SAT.

This test is most appropriate for 10th-grade students.
$18 Test Fee / $4 Unused Test Fee
Payment is DUE by Friday, April 15

Students can bring payment to the front office in an envelope labeled as follows:
Student First Name and Last Name
PSAT 10
Attn: Crystal Medlin
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Email *
Student Last Name *
Student First Name *
Student School Email Address *
Student ID Number *
Date of Birth *
MM
/
DD
/
YYYY
Current Grade Level *
Advisory/Homeroom Teacher *
1st Block Teacher *
2nd Block Teacher *
3rd Block Teacher *
4th Block Teacher *
Please select ONE of the following: *
What school do you attend? *
What school do you attend? *
Do you have an IEP or 504 that will indicate you have testing accommodations? *
A copy of your responses will be emailed to the address you provided.
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