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Summer
Registration
June 22-August 7
Registration due by May 1
Please fill out and return the following personal
information:
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Child’s Name__________________________________Birthdate__________________ Address________________________City/State_______________Zip Code_________ Parent’s Name____________________Contact Number________________________ E-Mail Address ________________________________________________________ Funding Source (if applicable)_______________________________________________________
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Registration Fee: There is a one time, nonrefundable registration fee of $50.00. This is due upon registration. Peers attend free of charge, however there are material fees for the classes. The material fees are noted below the class listings. Please contact The Learning Spectrum for more information. Call 844-5433 or visit our contact page with any questions.
Program Choices
Please circle all program preferences (1 form per child)
Pick your group:
Days Times Price
□ Terrific Tots! TWTH 9-11:00 $600
□ Playful Preschoolers! MTWTH 9-12:00 $1050
□ Super School-Agers! MTWTH 9-12:30 $1200
(Material fee for peers for the above three classes is $150.00)
Limited spaces available)
□ Pre-K Social Skills TTH 12-2:00 $450
□ School Age Social Skills TTH 12:30-2:30 $450
□ Who’s On 1st? Pre-K MW 12-2:00 $450
□ Who’s On 1st? School-Age TTH 12:30-2:30 $450
(Material fee for peers for the above four classes is $100.00)
□ Foodies Pre-K M 2:30-3:30 $125
□ Foodies School-Age M 4:00-5:00 $125
□ Flippin’ Out Pre-K T 2:30-3:30 $125
□ Flippin’ Out School-Age T 4:00-5:00 $125
□ Senseology Pre-K W 2:30-3:30 $125
□ Lights, Camera, Action! School –Age W 4:00-5:00 $125
Lights, Camera, Action! Teens W 4:00-5:00 $125
□ ‘WH’iz Kidz! TH 2:30-3:30 $125
□ ‘WH’iz Kidz! TH 4:00-5:00 $125
□ The Book Worms M 4:00-5:00 $125
(The material fee for the above one-hour courses is $50.00)
□ Friday Fun Camp Tots F 9:00-11:15 $350
Friday Fun Camp Preschool F 9:00-11:15 $350
Friday Fun Camp School-Age F 11:30-3:30 $450
Friday Fun Camp Teens F 10:00-3:30 $500
(The peer rate for camp is $100.00)
□ The Real World Teens MW 1:00-4:00 $650
1:1 Individualized Sessions M-F Scheduled on an individual basis
Rates: $30 per hour in clinic, $40 per hour in home
PPG’s M-F Scheduled on an individual basis
Rate:$250 for 6-week session + report
10% discount offered to parents signing up for
2. Select a date and time for your child’s assessment (new clients only):
June 1st □ 9:00-11:00 □ 12:00-2:00
June 3rd □ 9:00-11:00 □ 12:00-2:00
3. Select a date for parent orientation meeting:
June 15th @ 10:00 am. □
June 17th @ 6:00 pm. □
Behavior Policy: In order to ensure all groups are providing a safe and effective learning environment, we ask that participant’s behaviors are manageable in a group setting. The Learning Spectrum reserves the right to discuss with parents the need for an individual aid for any child who is exhibiting behavior that takes away from the learning experience. If an individual aid is required, parents will be asked to pay a higher rate, or provide their own aid.
Late pick-up Policy: A fee of $5.00 will be assessed for pick-up later than 10 minutes past groups end time, and $1.00 will be added every minute following.
Minimum Class Size: The Learning Spectrum reserves the right to cancel any offerings in this brochure if there are not a enough students to run a successful class.
4.
Please return to: The Learning Spectrum
P.O. Box 396
Lewis Center, Ohio 43035
Call 614-844-5433
Email: thelearningspectrum@gmail.com
Website: http://www.thelearningspectrum.com
Behavior Policy: In order to ensure all groups provide a safe and effective learning environment, we ask that participant’s behavior be manageable in a group setting. The Learning Spectrum reserves the right to discuss with parents the need for an individual aid for any child who is exhibiting behavior that takes away from the learning experience. If an individual aid is required, parents will be asked to pay an additional fee to cover the cost, or provide their own aid.
Parent Signature: _________________________________ Date: _________________________________
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