I understand there is a non-refundable registration fee of $20.00. (Invoice for registration fee will be emailed to family once form is submitted. Payment ensures spot in program.)
Choose
Yes
No
I understand the cost will be $5/session.
Choose
Yes
No
I understand parents or caregivers are required to accompany their child during class sessions.
Choose
Yes
No
Notes:
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Summit Speech & Language. Report Abuse