2022 Hocking Hills Rec Registration - The Learning Spectrum

Student Name *

First

Last

Age *

Grade Level *

Parent/Guardian *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

TLS Kids Summer Day Camp $500

$500 Total * Private Pay ONLY

Total Paid *

$0.00

Home School Location: Choose One *

Central (Worthington)
North East (Johnstown)
South (Canal Winchester)

Student Drop Off at 8am and Pick Up at 4:00 PM at respective home school site.

Student T-Shirt Size *

Please Choose one for your child

NOTES: Please Initial After Reading *

*All students must be potty-trained and be of the age 10-18 **Therapies are included in daily activities. ***TLS BEHAVIOR CLAUSE: IN ORDER TO ENSURE A SAFE AND EFFECTIVE LEARNING ENVIRONMENT, THE LEARNING SPECTRUM ASKS THAT STUDENT'S BEHAVIOR BE MANAGEABLE INDEPENDENTLY IN A SMALL GROUP SETTING. YOUR CHILD'S 1:1 SUPPORT MAY ATTEND IF YOUR CHILD HAS THEIR OWN PROVIDER **** Due to the national teacher shortage, enrollment for summer programming cannot be guaranteed until May 15, 2022.