Mock ACT/SAT Test 8/16/26

Price

$30.00

Guardian First Name*

Guardian Last Name*

Guardian Email*

Guardian Phone Number*

Student First Name*

Student Last Name*

Student Email*

Student Phone Number*

Address*

Student High School

Graduation Year

What are the student's pronouns?

Completed Math courses (select all that apply)

Geometry

Algebra 2

Precalculus

Calculus

Which test is the student planning to take?*

ACT

SAT

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?

Payment Information*

Payment amount:

$30.00

Total to pay:

$30.00

*

I agree to receive appointment confirmations, reminders, and other information from Pollak Tutors

*

I understand and agree to be charged for an appointment if not cancelled within 24 hrs. of the scheduled time

*

I understand that all offices are recorded for safety and training purposes.

Signature*

X