|
|
The Learning Spectrum |
|
|
The Learning Spectrum |
Summer Registration
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)_______________________________________________________
|
Registration Fee: A $50.00 nonrefundable registration fee is required to reserve a space for The Learning Spectrum Summer Programs. Please include $50.00 when returning this Summer Registration form.
Program Choices
Please circle all program
preferences (1 form per child)
|
Social Skills Classes
Toddler/Young Pre Class Preschool Class (Letter Friends) Elementary Class (Pirates) Teen Talk |
Friday Recreation Camp
Toddler-Young Pre Camp Preschool Camp Elementary Camp Middle/High School Camp |
ABC Basics
Preschool (Basics) Elementary (Basics and Beyond) |
1:1 and Integrated Play Requests (please specify which service) 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 aide for any child who is exhibiting behavior that takes away from the learning experience. If an individual aide is required, parents will be asked to pay an additional fee to cover the cost, or provide their own aide.
Parent Signature: Date:
___________________________________________________ _________________________________
