SBP Summer Camp Inquiry Form

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It is important that we ensure your child receives the best support that they need. Therefore, we screen whether SBP camp is the best fit for them. If your child has an evaluation, IEP, or something similar, please send to Shelbi Randenberg at srandenberg@friendsacademy1810.org.

For the Orton-Gillingham and Writing Maintenance Camps, a writing sample is also needed.

Email *

Which camp are you interested in? *

Orton-Gillingham (Grades 1-8)

Writing Maintenance (Grades 6-8)

Math Maintenance (Grades 6-8)

I'm not sure

Required

Student Name (and nickname, if applicable) *

Student Grade Next Year *

Your Name and Relationship to Child *

Phone Number *

Student's School *

Does your child have.... *

A neuropsychological evaluation

Speech and Language evaluation

Occupational Therapy Evaluation

An IEP

None

Other:

Required

Diagnosis (if known) *

OG Camp Only: Has anyone recommended Orton-Gillingham for your child? If so, who? *

Writing and Math Camps Only: Has anyone recommended additional writing or math support for your child? If so, who? *

What, if any, additional services does your child receive? *

If known, what is your child's reading level? *

Does your child have behavioral challenges? *

Anything else?

How did you hear about us? *

Online Search

Word of Mouth

Returning family

Family enrolled at Friends Academy

Local Resident

Other:

Required

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