Service & Payment Plan
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Mock ACT/SAT 3/15
Price
$30.00
Guardian First Name
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Guardian Last Name
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Guardian Email
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Guardian Phone Number
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Student First Name
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Student Last Name
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Student Email
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Student Phone Number
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Address
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Student High School
Graduation Year
What are the student's pronouns?
Completed Math courses (select all that apply)
Geometry
Algebra 2
Precalculus
Calculus
If already decided, which test is the student planning to take?
ACT
SAT
Not sure
Does the student receive accommodations in school (IEP, 504, etc.)
Yes
No
Not sure
Please enter any previous official test scores (include month and year of test)
Is there anything else you think we should know?
Please list any siblings and their graduation years.
How did you hear about us?
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I agree to receive appointment confirmations, reminders, and other information from Pollak Tutors
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I understand and agree to be charged for an appointment if not cancelled within 24 hrs. of the scheduled time
Payment Information
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Payment amount:
$30.00
Total to pay:
$30.00
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