Speak It Therapy Summer Speech-Speak It Therapy

Speak It Therapy Summer Speech

Speak It Therapy is offering an exciting Summer Speech program to enhance your child's speech therapy! We are offering 8 one on one sessions (in-person or virtually) where we will carryover current goals or we can put together a summer plan to kick start your child's therapy journey! The price for all sessions including a free screener (if applicable) is $400 with a $50 deposit to secure your slot! Fill out the form below and we will be in contact with you as soon as possible to ensure your therapy day/time.

Space is limited!
Name*

First NameLast Name
Phone Number*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child's Name*

First NameLast Name
Child's Age*
Has your child received or currently receive speech therapy?*

Yes, Private OnlyYes, School OnlyYes, Private and SchoolNo
What is your main concern with your child's speech-language?*

Articulation (the way they produce sounds and words)Language (difficulty answering questions, following directions, or understanding vocabulary?)Pragmatics (Social use of language- difficulty communicating with peers and family effectively)Fluency (Stuttering)Other
What day and time would you like your child to receive therapy during the summer (8 sessions)*

Monday/Wednesday 9:00-10:00aMonday/Wednesday 10:00-11:00aMonday/Wednesday 1:00-2:00pMonday/Wednesday 2:00-3:00pMonday/Wednesday 3:00-4:00pTuesday/Thursday 9:30- 10:30aTuesday/Thursday 10:30- 11:30aTuesday/Thursday 1:00p- 2:00pTuesday/Thursday 3:00p- 4:00pBefore 9a or After 4p- must contact the office (214-432-6535 or email info@speakittherapy.com) for specific- day/times available
Would you like your child to attend the speech sessions in person or virtually?*

In-PersonVirtual
What is your biggest goal for your child this summer?*
If your child received speech therapy in the schools please upload current speech goals or progress report.

Cancelof
Please be advised that all fees associated with this program are non-refundable. By submitting this registration form, you agree to abide by this policy. Additionally, you understand that any cancellation or withdrawal from the program does not entitle you to a refund. This policy is binding and applies to all participants without exception. Thank you for your understanding and cooperation. Signature*

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My Products*

Speak It Therapy Summer Speech DEPOSIT

$50.00 Quantity

Speak It Therapy Summer Speech Sessions

$400.00 Quantity

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

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