Summer 2023 Sessions @School of Lexia              Enrollment Application
School of Lexia is a non-profit, private school for students with Dyslexia and related learning differences.  

Summer Dates:  June 26, 2023 - July 27, 2023. Classes are held every day on Monday-Thursday with the exception of no class on July 3rd-4th.  

Location:  1200 Clover Hill Rd., Mansfield TX 76063.
(School meets inside Trinity Presbyterian Church Building lower level)
Mailing Address: 752 N. Main St. #1972 Mansfield TX, 76063

Scheduled times are based on student’s reading levels and/or skill.  Schedule below is subject to change.
8am groups:
• Decoding/Reading (K-2nd Grade) FULL- WAITING LIST
• Decoding/Reading (3rd-5th Grade) FULL- WAITING LIST
• Math (K-2nd Grade) ALMOST FULL!

9am groups:
• Decoding/Reading (K-2nd Grade) FULL- WAITING LIST (2) groups
• Comprehension/Fluency (3rd-5th Grade) FULL- WAITING LIST
• Math (3rd-5th Grade) - FULL- WAITING LIST

10am groups:
• Decoding/Reading (K-2nd Grade) FULL- WAITING LIST
• Comprehension/Fluency (3rd-5th Grade) FULL- WAITING LIST (2 GROUPS)
• Math (6th & 7th Grade) ALMOST FULL!

11am groups:
• Decoding/Reading (K-3rd Grade) FULL- WAITING LIST (2 GROUPS)
• Writing (4th Grade & up) FULL- WAITING LIST 
• Writing (4th Grade & up) 1 opening


Tuition for Elementary Age Sessions:
Early Registration Rate: $575* must register and make deposit by April 1st, 2023;  
Regular Registration : $625* if registering or making a deposit after April 1st, 2023
Sibling discount*:  $50 discount
*$250 Non-Refundable Deposit due at time of registration with completed contract.
**Balances due by May 15th, 2023 (failure to pay balance by this date will result in loss of spot)


Payment Options:
1. Zelle: (Payment must to be sent through your bank’s mobile app rather than a debit card)
Zelle payment will be to info@SCHOOLofLEXIA.org. Please complete this form prior to any making payments. If you have any questions regarding this payment method please email or call.

2. Check: (if paying by check please email us)
Payable to: School of Lexia
Mail to:  752 North Main St., #1972
Mansfield, TX 76063–3203

For additional information regarding School of Lexia:  www.SCHOOLofLEXIA.org
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Email *
Which session(s) are your registering for? (check all that apply) *
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Trinity Presbyterian Church (School of Lexia Entrance)
1200 Clover Hill Rd. Mansfield TX, 76063
Summer 2023 Dates
Statement of Non-Discrimination
School of Lexia does not discriminate on the basis of race, color, religion, physical disabilities, or national and ethnic origin in the administration of its educational and admission policies.
Student Last Name *
Student First Name *
Student Birthday *
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Address- Street *
Apt or box # (leave blank if not applicable)
Address- City *
Address- State *
Address- Zip *
Guardian #1 (Last Name) *
Guardian #1 (First Name) *
Guardian 1 - cell phone # *
Guardian 1 - email *
Guardian #2 (Last Name) *
Guardian #2 (First Name) *
Guardian 2 -cell phone #
Guardian 2 - email
Emergency Contact and Information (name, phone #, email) *
Ethnicity *
Required
Primary Language Spoken at Home
Last (or current) School Attended (Full School Name) *
Grade Completing  (in May of 2023) *
Services Received Prior to Enrollment at School of Lexia *
Required
Siblings who are also enrolling (Names and Ages): (if applicable)
Allergies *
What is your student's shirt size? *
School of Lexia Calendar - missing days
Students are strongly encouraged to attend daily to promote the program's effectiveness.  If a student will not be available for 4 days (or more) of the program, it is advised to seek other programs.
If a student must be absent, please notify the us 24 hours in advance via email.  
There will be no refunds for days missed.
What days (if any) do you plan to be absent due to prior vacation plans?
Final Steps
1. Pay deposit. -Forms of Payment listed at the top of this page, include Zelle (preferred) & Check.
2. We will reach out to those enrolled prior to summer confirm placement hours.
How did you first hear about School of  Lexia? *
If referred, please share who referred you:
Questions or Comments:
Students Gender *
Photography/Video *
By signing this form, you are consenting to allowing School of Lexia to use photos and videos with your child's voice/image for training purposes and/or for the purpose of marketing. 
Please feel free to contact us directly. If emailing please include your phone number.
info@SchoolofLexia.org  or (682) 422-9093
A copy of your responses will be emailed to the address you provided.
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