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STUDENT LEARNING ASSESSMENT CENTER

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If registering siblings, please complete a separate form for each student.

School

Grade (25-26 Year)

Summer Writing Camp

-Special Offer:
• 15% discount for 5–8 week enrollment in Morning or Full Day programs
Discounts do not apply to Math-only enrollment.)

-Please select at least 2 weeks.

AM Session (Writing Only)

Week of June 23 (6/23-6/26)

Week of June 30 (6/30-7/3)

Week of July 7 (7/7-7/10)

Week of July 14 (7/14-7/17)

Week of July 21 (7/21-7/24)

Week of July 28 (7/28-7/31)

Week of August 4 (8/4-8/7)

Week of August 11 (8/11-8/14)

Full Day (Writing + Math)

Week of June 23 (6/23-6/26)

Week of June 30 (6/30-7/3)

Week of July 7 (7/7-7/10)

Week of July 14 (7/14-7/17)

Week of July 21 (7/21-7/24)

Week of July 28 (7/28-7/31)

Week of August 4 (8/4-8/7)

Week of August 11 (8/11-8/14)

PM Session (Math Only)

Week of June 23 (6/23-6/26)

Week of June 30 (6/30-7/3)

Week of July 7 (7/7-7/10)

Week of July 14 (7/14-7/17)

Week of July 21 (7/21-7/24)

Week of July 28 (7/28-7/31)

Week of August 4 (8/4-8/7)

Week of August 11 (8/11-8/14)

Parent's First Name

Parent's Last Name

Parents' email address for payment

Emergency Cotact Name

Emergency Contact Phone Number

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