|
|
The Learning Spectrum |
|
|
The Learning Spectrum |
Individualized Programming
Please contact The Learning Spectrum for more information. Call 844-5433 or visit our contact page with any questions.
|
Child’s Name__________________________________Birthdate__________________ Address________________________City/State_______________Zip Code_________ Parent’s Name____________________Contact Number________________________ E-Mail Address ________________________________________________________ Funding Source (if applicable)_______________________________________________________
|
|
|
Preferred time for programming (please check any available times):
|
Late pick-up Policy: A fee of $5.00 will be assessed for pick-up later than 10 minutes past end time, and $1.00 will be added every minute following.
Parent Signature: ___________________________________________________
Date: _________________________________
