HandRIGHTing Ink - Application for Enrollment

Classes

ENROLLMENT APPLICATION for AFTER-SCHOOL CLASSES

Please print and mail the form and deposit to:

HandRIGHTing, Ink.
63 West Lancaster Ave., Suite 6
Ardmore, PA 19003
Phone (610-649-1400)
or FAX to (610-649-1715)

Name: _________________________________________________________________________

Address: _____________________________ City:________________ State:_____ Zip:________

School (as of Fall '08)_______________________________________________ Grade:________

Home Phone: ______________________

Mother:______________________________________ Work/Cell Phone:________________________

Father:______________________________________ Work/Cell Phone:________________________

Please Specify Location : Ardmore, PA or Berwyn, PA
For directions to location sites, click on "Contact" above.

Please Specify Dates for 2008:
1st January 3 to February 7
2nd February 12 to March 18
3rd April 1 to May 8
4th May 13 to May 29
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Please Specify Class:
Ardmore Location
Printing, (Pre-writing or Printing) Classes
Tuesdays, 4:00 to 5:00 p.m.

Cursive Classes
Tuesdays, 5:00 to 6:00 p.m.

Middle School and College Prep Tune-Up
Tuesdays, 5:00 to 6:00 p.m.

Tuition
Group Classes:
Tuition is $44.00 per Class. Determine the number of weeks your child will attend and multiply that number by $44.00.
Cost includes brief screening (no written report), workbook, folder, pencil; gripper, if needed; homework pages, and brief consultation with parent(s) on-site.

Location Address:
HandRIGHTing, Ink. Studio
63 West Lancaster Avenue, Suite 6
Ardmore, PA 19003

OR

Please Specify Class:
Berwyn Location
Printing, (Pre-writing, Printing) Classes
Thursdays, 4:00 to 5:00 p.m.

Print/Cursive Classes
Thursdays, 5:00 to 6:00 p.m.

Middle School and College Prep Classes
Thursdays, 5:00 to 6:00 p.m.

Tuition
Group Classes:
Tuition is $44.00 per Class. Determine the number of weeks your child will attend and multiply that number by $44.00.
Cost includes brief screening (no written report), workbook, folder, pencil; gripper, if needed; and homework pages.

Location Address:
461 Cassatt Road
Berwyn, PA 19312

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Enclose a $50.00 check to guarantee a place for your child in the group classes. The balance of the tuition is due on the first day of class. Please return your application and deposit as soon as possible, as space is limited. Make check payable to: HandRIGHTing, Ink. We will call you to let you know that your application has been received and to verify space availability.

Please complete the following:

What are your concerns regarding your child's handwriting? _____________________________________________________________________________________ _____________________________________________________________________________________

What has been done to try to improve it? _____________________________________________________________________________________ _____________________________________________________________________________________

Describe your child's current handwriting skills. ______________________________________________

How did you find out about HandRIGHTing, Ink?

Parents' Express
MetroKids
Kids News
Teacher ____________________________
An Occupational Therapist________________________
Web Search
Other ________________________________________

I give permission to have my son or daughter photographed while participating in classes. Pictures will be used for marketing purposes to positively represent HandRIGHTing, Ink.

Signature:_____________________________ Date:______________________________

HandRIGHTing, Ink. is able to assist in improving and developing the skills of their clients to write better. Completion of the program does not guarantee permanent improvement. Our curriculum is an adjunct to the educational process offered in the school setting. The program is recognized by many educators, both locally and nationally.