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Email *
Student Name *
Student Phone Number *
Student Email Address *
Parent Name *
Parent Phone number *
Parent Email Address *
For which test do you need preparation classes? (Sept, October, December, February, April, June, or July) and year. *
Have you ever taken the ACT, If no write NA to the next 4 questions. *
What was your highest English Score? *
What was your highest Math score? *
What was your highest Reading score? *
What was your highest Science score? *
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