In-Person ACT Prep Registration Form

In-Person ACT Prep Registration Form

Submitted to Advantage Educational Programs
Student Information

*required information
First Name
Last Name
Student Email (student will also have access to the Online Prep Course)
Secondary Email (payment confirmation will be sent to this address)
School
Year Graduating
YYYY
Parent Information
First Name
Last Name
Primary Phone
###-###-####
Secondary Phone
###-###-####
Street Address
Address Line 2
City
State
Zip Code
Course Information

In the fields below, enter the course numbers listed on the class schedule for the classes you would like to take.
# First Choice (3 digits)
# Second Choice (3 digits)
Payment Information

In-School ACT Prep Course$180.00

Parent Information