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Student's Information
Student 1 - Name *

First Name Last Name
Student 1 - Grade *
Student 1 - E-mail *
Student 1 - Cell Phone

Area Code Phone Number
Which Full Length Exam Would You Like To Take? *

SAT Diagnostic - 180 minutes ACT Diagnostic - 175 minutes Both SAT & ACT
Parent/Legal Guardian Information
Parent/Legal Guardian Name
Relationship
E-mail *
Cell Phone

Area Code Phone Number
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Additional Student Information
Student 2 - Name

First Name Last Name
Student 2 - Grade
Student 2 - E-mail
Student 2 - Cell Phone

Area Code Phone Number
Which Full Length Exam Would You Like To Take? *

SAT Diagnostic - 180 minutes ACT Diagnostic - 175 minutes Both SAT & ACT
Student 3 - Name

First Name Last Name
Student 3 - Grade
Student 3 - E-mail
Student 3 - Cell Phone

Area Code Phone Number
Which Full Length Exam Would You Like To Take? *

SAT Diagnostic - 180 minutes ACT Diagnostic - 175 minutes Both SAT & ACT

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TEST PREP DIAGNOSTIC REGISTRATION FORM