Name:

Address:

City: Zip Code:

Phone Number:

Email address:

Birthdate:

Grade School :

Test Date:
Saturday, November 20, 2010 - 8th Grade ACT Test
Saturday, January 8, 2011 - Placement Test 1
Friday, January 21, 2011 - Placement Test 2 & Visitation Day
Saturday, February 19, 2011 - Placement Test 3
Saturday, March 19, 2011 - Plcement Test 4

PLEASE ARRIVE AT 7:30 a.m. FOR ALL DATES BUT NOVEMBER 20- TESTING STARTS PROMPTLY AND LATE COMERS WILL NOT BE ADMITTED TO TEST. NOVEMBER 20TH TESTERS SHOULD ARRIVE BY 8:30 a.m. PLEASE BRING THE REGISTRATION FEE OF $30.