ACT/SAT Success Academy Registration
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Student's Name
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First Name
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Parent's Name
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First Name
Last Name
Address
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Street Address
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Phone Number
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Parent's E-mail
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Student Email
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example@example.com
Virtual Courses 2023
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February 13th - April 5th (Mon and Wed)
Current school, grade, and age.
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Have they taken the ACT before? If so, what were their scores? (Composite, English, Math, Reading, Science)
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Favorite and least favorite subject in school? Hobbies? Interests?
How did you hear about ACT Academy
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NOTES (Anything else I should know?)
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Deposit for ACT Academy
$
500.00
Classes meet on Mondays and Wednesdays at 4:15-4:45 PST and 7:15-7:45 EST
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