Writing Group REGISTRATION FORM

Handy Dandy Writing

This group focuses on improving your child’s handwriting skills in fun and engaging ways! Their legibilty and writing speed with improve as they learn correct start locations, sequence, alignment, spacing and orientation.

Areas of focus include:
- Improving legibiltiy and writing speed
- Correct start location, sequence, sizing, and alignment of letters
- Hand strengthening
- Pencil grip
Student Information
Name*

First NameLast Name
Age*
MaleFemale
School Name*
School Grade*
Does your child have a diagnosis*
If yes, please indicate
Does your child follow directions*
Does your child have communication difficulties or is non-verbal?*
Does your child have any medical or behavioral challenges?*
How much support/help does your child need in a group setting?*
If you answered yes to any of the questions, or if there is anything we need to know, please explain:
Parent/Guardian Information
Parent/Guardian Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship*

Besides yourself, please list any other adults authorized to pick up your child:

Payment & Confirmation
Your registration form does not guarantee your child's enrollment. Registrations will be processed when payment is made. Space is limited so early registration is highly recommended.

A confirmation email will be sent upon receipt of registration form and payment.

My Products

Aug 14 - Oct 6 session$560.00

Quantity

Oct 9 - Dec 8 session$560.00

Quantity

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Student Information