Four days weekly (Monday, Tuesday,
Wednesday, Thursday)-50 min. daily
FEE CHARGED FOR TUTORING — $15.00
per hour with teacher. (in case of financial need, scholarships may be available
to learning disabled students with furnished IEP or Psychologist's data)
Direct your questions
to Ann Milliard, Education Director
$10.00 REGISTRATION FEE MUST BE
ENCLOSED TO RESERVE A TIME.
(This fee is reduced to $5.00 if the
student is a current ACLD student)
Today's date______
Student's
Name________________________________age_____Birth___________________
Address___________________________________City/State______________zip__________
Parent/s
name/s_________________________________________Phone________________
School___________________grade___Is
this student diagnosed as Learning Disabled? ____
Comments:__________________________________________________________________
My best hour for weekday tutoring is
___4:00 ___5:00 ___6:00
Your ACLD teacher (if you are
presently in the program):______________________________
*** Confidentiality Release: I
hereby give my consent for ACLD to converse with the school/s
and/or other professionals in
reference to my child's educational needs and services.
__________________________________________(parent
signature)_______________(date)
An association to advance the education and general welfare of
children and youth who have
Incorporated and National LDA
specific teaming disabilities of a perceptual,
conceptual or coordinative nature. 1972
