Student Name

Student Cell Number

Student Email

Parent Name

Parent Cell Number

Parent Email Address

Student Grade (Senior/Junior/Sophomore/Freshman)
—Please choose an option—SeniorJuniorSophomoreFreshman

Current Math Class/Last Math Class taken

Highest ACT Composite Score

Highest ACT English Score

Highest ACT Math Score

Highest ACT Reading Score

Highest ACT Science Score

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ACT MATH Power Hour - April 2nd - ALGEBRA 6-7 pm EST / 5-6 pm CST $100ACT MATH Power Hour - April 9th - GEOMETRY 6-7 pm EST / 5-6 pm CST $100