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ENROLLMENT APPLICATION for AFTER-SCHOOL CLASSES

Please print and mail the form and $50.00 deposit to:  

HandRIGHTing, Ink.
63 West Lancaster Ave., Suite 6
Ardmore, PA 19003
Phone: 610-213-3334

Student's
Name:  _________________________________________________________________________ 

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

School (as of September, 2011)_______________________________________________  Grade:________ 

Home Phone: ______________________ 

Mother:______________________________________ Work/Cell Phone:________________________

Father:______________________________________ Work/Cell Phone:________________________ 

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

Ardmore Location
 

Printing, (Pre-writing or Printing) Classes

 Tuesdays, 4:00 to 5:00 p.m.
Cursive/Print Classes for Grades 3 and up
 
  Tuesdays, 5:00 to 6:00 p.m.

Berwyn Location (at Easttown Public Library, Childrens' Section, 720 First Avenue, Berwyn, PA 19312)

Printing, (Pre-writing or Printing) Classes

Thursdays, 4:00 -5:00 p.m.

Cursive/Print Classes for Grades 3 and up

  Thursdays, 5:00 -6:00 p.m.

King of Prussia Location (at Vision Development Center, Valley Forge Towers, 10106 Valley Forge CIrcle, King of Prussia, PA)


Printing, (Pre-writing or Printing) Classes

 Wednesdays, 4:00 -5:00 p.m.

Cursive/Print Classes for Grades 3 and up 

Wednesdays, 5:00 -6:00 p.m

Tuition
Group Classes:  
Tuition is $300.00 per 6-week session. Parents are asked to pre-pay these group classes. A  $50.00 deposit  is required to secure a place for your child.  The balance is due at the first class.
The tuition includes the cost of a workbook, folder, pencil and gripper, if needed; homework pages, and brief consultation with parent(s) on-site at each class.

Send completed application and $50.00 deposit to :
HandRIGHTing, Ink. Studio
63 West Lancaster Avenue, Suite 6
Ardmore, PA 19003

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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?
MetroKids
 Kids News
Jewish Exponent
Delaware County News
Teacher ____________________________
An Occupational Therapist________________________
Web Search
Other ________________________________________

  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.
Insurance may or may not reimburse you for the cost of these lessons. It is entirely dependent on the agreement you have with your healthcare provider.
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:______________________________

 

 

 

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