Summer Math and Writing 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 this class is the best fit for them. After you complete this form, please send a writing sample (without adult help), along with your child's evaluations and/or IEP to Shelbi Randenberg at srandenberg@friendsacademy1810.org.

Email *

Your Name & Relationship to Child *

Phone Number *

Student Name (and nickname, if applicable) *

Student Grade Next Year *

Student's School *

Does your child have.... *

A Neuropsychological Evaluation

An Occupation Therapy Evaluation

Speech and Language Evaluation

IEP

None

Other:

Required

Diagnosis (if known)

Has anyone recommended additional math and writing 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? *

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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