ACT Bootcamp Registration 23-24 
This form is Registration for JHS ACT Bootcamp. Please complete this form in its entirety. 
FREE ACT Bootcamp is open to JHS scholars in grades 10-12.
Bootcamp Dates: 
Saturday, November 11, 2023
Saturday, November 18 , 2023
Saturday, December 2, 2023 

Weekly Time: 8:00 AM---12:00 PM 

Bootcamp Location: Jacksonville High School Room 114 

The next ACT Test is Saturday, October 28 at JHS. ACT registration has to take place on www.ACT.org. 
Cost of the ACT is $60.00. 
Juniors and Seniors can qualify for ACT Waivers--go check with Mrs. Bradley in the Counselor's office. 
Email *
Scholar First Name 
Scholar Last Name 
Scholar Current Grade 
Clear selection
Parent/Guardian Name
Parent/Guardian E-mail Address 
Parent/Guardian Phone Number (Best Contact Method) 
Has your scholar taken the ACT before? 
Clear selection
Is you scholar registered to take the October 28, 2023 ACT Test? 
Clear selection
Is your scholar planning to register for the December 9, 2023 ACT Test? 
Clear selection
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Jacksonville North Pulaski School District. Report Abuse