ACT* Prep Chicago, L3C

Dedicated, High Quality Instruction!

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*ACT is a registered trademark of ACT, Inc. and does not endorse or sponsor this website or company.

Chicago, IL
ph: 773-474-2540
actprepchicago@yahoo.com

Registration

Registration Form

*Service Requested:

*Student Name:

*Student Mobile Phone:

*Student Email:

*Parent Name:

*Parent Mobile Phone:

*Parent Email:

*Home Address:

*City/Town:

*State/Province:

*ZIP/Postal Code:

*School Currently Attending:

*Grade Level:

*GPA (Grade Point Average):

*If you previously took the ACT/SAT, what was your composite score:

Which Subjects are strengths for you:

Which Subjects are weaknesses for you:

Any additional information you feel we should know:

*Before you submit your registration form, please remember a $42 non-refundable registration payment is also required to complete registration for our Small Class Instruction. No registration fee is required for 1-on-1 tutoring. You can make this payment on our Small Class Instruction page by scrolling down to $42 registration fee and clicking Paypal link. We will NOT hold a spot in our small class instruction without a registration payment.

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*ACT is a registered trademark of ACT, Inc., which was not involced in the formation of, and does not endorse, this company.

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Chicago, IL
ph: 773-474-2540
actprepchicago@yahoo.com