Reading & Riding 2016

Reading & Riding Summer Adventures!
Live Love Learn Tutoring, LLC, is excited to offer summer camps and workshops for 2016!
Student's Name

First NameLast Name
Camp Choices

June 13-17 (9:00 AM-1:00 PM)June 27-July 1 (9:00 AM-1:00 PM)
Rising Grade
Student's Birthday
School Attending in Fall
Current School (if different)
Does your student have any learning challenges? Does he/she receive any accommodations at school?
What's your student's attitude about school? What are his/her strongest areas? and Are there areas that are more of a struggle?
Is your student taking any medications?
Is there anything else you'd like us to know about your student?
Any allergies?
How do you want to pay?
Parent/Guardian Information
Primary Email Contact
Contact information for parents/guardians
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Siblings and Grades
Should be Empty:

Reading & Riding Summer Adventures!