To register, please complete the form below. You will receive an email shortly after submitting. Please check your “Spam” folder if you do not see the email immediately. Please complete the following form for the Spring ACT Prep Course offered at The CERTA Learning Center.RM_StatsStudent's First Name *Student's Last Name *Current School *Parent/Guardian First Name 1 *Parent/Guardian Last Name 1 *Parent/Guardian First Name 2Parent/Guardian Last Name 2Street Address *City *State *Zip Code *Cellphone Number *Home Telephone NumberEmail *Please list the name(s) of other family members who have attended The CERTA Learning Center. Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu. You will receive an email shortly after submitting. Please check your “Spam” folder if you do not see the email immediately.
