Hello,
Would it be possible to add more alignment points than two (2)?
Use case: I am placing a soil boring map on top of a site plan to reference the types of soils at that location. The boring map is level but the site plan is not, so only having 2 points to pick does not really allow the pages to be aligned.
I am thinking that an option for 4 points would be nice, or maybe a way to "tilt" a sheet. Any other ideas?

I agree on the sheet leveling or tilting. We overlay landscape architect's drawings over site plans regularly and they are typically not in the same orientation.
Giving this a bump as I ran into this need again today. I use this feature in AGTEK, and it only requires two points. It rotates and scales the drawing at the same time. I made a quick video showing the functionality. TBC (Trimble Business Center) has the same feature, but also has the option to allow me to add more alignment points. We use this to align, landscape, structural, architectural, and MEP sheets to our civil plans. Video: Let me know what questions you have.