HandRIGHTing Ink - Application for Enrollment

Classes

ENROLLMENT APPLICATION for SUMMER CLASSES

Please print and mail the form and $70.00/child deposit to:

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

Student's Name: ______________________________________________________________________

Address: _______________________________ City:___________________ State:_____ Zip:________

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

Home Phone: ______________________

Mother's Name:________________________________ Work/Cell Phone:_________________________

Father's Name:_________________________________ Work/Cell Phone:________________________

Specify Location : Ardmore, PA or Berwyn, PA
Specify Camp Class:
Classes: Indicate Class #, day and time:_____________________________________________

Camp Tuition:
:     1 class per week for 6 weeks, $270.00
    2 classes per week for 6 weeks, $520.00
      2 children per week for 6 weeks, $520.00
Cost includes brief screening (no written report), workbook, folder, pencil; gripper, if needed; homework pages, and brief consultation with parent(s) on-site.

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Enclose a $70.00 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.