2016 Summer Language Arts Program at Our Lady of the Lake August 1—19 9:00 am — 12:00 pm Monday-Friday Classes will be determined based on the enrollment. Class sizes are limited to 12 students Our Lady of the Lake is accepting registrations for our Summer Language Arts Program. This program is open to students entering grades 1—5, who would benefit from summer support in handwriting, spelling, and reading. Teachers will provide daily Slingerland® Approach to Language Arts instruction in a small classroom setting. About our Staff Nikki Jensen—Our Lady of the Lake PreK teacher, Slingerland tutor (grades K-3) Annalise Johnson— St. Mary Magdalene Reading Specialist, Slingerland tutor (gr. K-4) Nick Meaux — Our Lady of the Lake 5th gr. Teacher, Slingerland tutor (gr. 4 –6) ☑YES! Sign my child up! Tuition: $475 Students entering grades 1-5 (Early registration is encouraged) Please complete the registration form on the back of this sheet and return it to OLL as soon as possible. Payment in full is due on or before June 1. SLINGERLAND SUMMER SCHOOL REGISTRATION FORM Class Fee: $475 per student Class Dates: Monday, August 1 – Friday, August 19 9-12 daily Monday –Friday Child’s Name ___________________________ School Grade (next year) _____ Age _____ Birth Date___________ School Attending ______________________________Teacher ____________________________ Gender M F Parent or Guardian's Name _____________________________________________________________________ Parent email: ________________________________________________________________________________ Address ____________________________________________________________________________________ City ______________________________________ State ____________ Zip _____________________________ Home Phone _________________ Work Phone __________________ Cell Phone_________________________ Emergency contact (name) ____________________________________________ (phone) ___________________ Who has your permission to pick up your child: ______________________________________________________ ___________________________________________________________________________________________ Will your child be attending OLL Excare on a regular basis during summer school? _________________ SCHOOL INFORMATION: The following information would be very helpful if your student does not attend OLL. Please check areas of difficulty in school: ( ) Reading ( ) Handwriting ( ) Spelling ( ) Oral Language Any Identified learning disabilities? ________________________________________________________________ Medications we should be aware of: _______________________________________________________________ PLEASE INCLUDE TEST RESULTS and MOST RECENT STANDARDIZED TESTING INFORMATION Which forms of handwriting is your child automatic in: _______Manuscript _______Cursive Please indicate the educational services your child is currently receiving: ( ) Special Education ( ) Resource Room ( ) Speech Therapy ( ) Tutor ( ) Other_________ Previous Slingerland®/Multi-sensory Approach Instruction: When _________ Where _______________________ How often _________________ From Whom ______________________________________________________ Payment due in full by June 1. Thank you Our Lady of the Lake Parish School 3520 NE 89th, Seattle, WA 98115 206 525 9980, ext. 37 Attn. Bonnie Meyer
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