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The Learning Spectrum |
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The Learning Spectrum |
Fall
Registration
Please contact The Learning Spectrum for more information. Call 844-5433 or visit our contact page with any questions.
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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:
A $25.00
nonrefundable registration fee is required to reserve a space for The
Learning Spectrum Fall Programs.
Please include $25.00 when returning this Fall Registration form.
Program Choices
Please circle all program
preferences (1 form per child)
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Tutoring Group Days Requested: M T W Th F Peer Play Group Days Requested: M T W Th F
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Saturday Classes Preschool “Pretend Players”
Elementary: Art & Movement |
Weekday Groups Toddler Group (2-3 years) M, W 9:00-11:00 Preschool Group (3-6 years) T, W, TH 9:00-11:00 Teen
Talk Elementary Pirates Tuesdays 4:00-5:00 |
Individualized Services/Classroom Aide Monday:_________________ Tuesday:_________________ Wednesday:______________ Thursday:________________ Friday:__________________ *Please indicate preferred times and if you prefer in home or at the office. **If you do not have a current individualized program, an assessment meeting will need to take place before services can begin |
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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