ACT SAT Boot Camp Registration 2016

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1. ACT Boot Camp

September 26th - 30th *Shaw High School * 15320 Euclid Ave. East Cleveland, OH 44112 3:15 pm -- 7:15 pm M-Thur

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2. SAT Locations:

September 12th -22nd West Park Library 3805 W 157th St, Cleveland, OH 44111 NOTE ** This is a 6 Day Boot Camp** 3:45 pm -- 6:30 pm Mon, Tue, and Thur of each week.

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3. Name

First:

Last:

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4. Student and Family Information

Student Birth Date

Student Social Security Number (Optional)

Student Home Phone

Student Cell Phone:

Student Email Address:

Parent Name:

Parent Email:

Parent Cell Phone:

Mailing Address (Street, City, Zip Code)

ACT SAT Boot Camp Registration 2016

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1. ACT Boot Camp

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2. SAT Locations:

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3. Name

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4. Student and Family Information

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5. Last Grade Completed

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6. Current School

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7. School District

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8. Home Phone Number

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9. Student Birth Date