PreACT Registration Form
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Email *
Student First Name *
Student Last Name *
Parent Email Address  *
Phone Number  *
Does your student currently have an active IEP/504 plan and are you requesting extended testing time? *
Payment *
I understand that payment must be made in the amount of $30.00 when invoice is received.  By selecting YES, this is my electronic signature.
Required
A copy of your responses will be emailed to the address you provided.
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