Premier College Prep ACT Small Group Class Enrollment Form

Complete this form to enroll directly in our small group class.

Date/Time: Tuesdays from 6:00 to 8:00pm, starting Tue March 3rd 2026. The class will meet every Tuesday until the April 11th ACT.

Location: Our Ambler office: 140 E Butler Ave, Ambler, PA 19002.

Service & Payment Plan*

Group Class: April 2026 ACT: Tuesdays 6-8pm

Price

$799.00

Parent/Guardian First Name*

Parent/Guardian Last Name*

Parent/Guardian Email*

Parent/Guardian Phone Number*

Student First Name*

Student Last Name*

Student Email*

Student Phone Number

Student's High School*

High School Graduation Year*

Does the student receive any testing accommodations?*

Which ACTs (real or practice) has the student taken in the past, if any?*

ACT: Actual Official ACT. Please specify which month in the 'Scores' field below

ACT Practice Test (Real, with us): Diagnostic ACT, taken either at our Ambler office or at home based on instructions we sent you

ACT Practice Test (Fake): given by Compass or Revolution or taken from a prep book

10th grade PreACT: Official PreACT, given in school, usually in the spring

11th grade PreACT: Official PreACT, given in school

Other

I'm not sure

The student has not taken any ACTs yet. (Please see the note in the 'Scores' field below.)

Student's ACT Scores*

Select Credit Card or ACH:*

Payment amount:

$799.00

Total to pay:

$799.00

Premier College Prep Policies*