I have selected Tier Tier Chosen I II III * services for my child, Student's Full Name* , for the 2023 - 2024 school year. I understand that I can only make changes to this selection at the end of a quarter.
I understand that my child, Student's Full Name* MAY need additional Student Support Services (ie. additional testing accommodations, tutoring/academic coaching, etc.) for the 2023 - 2024 school year for him/her to be successful. If my child participates in tutoring/academic coaching, I will partner with SSS for his/her success. I WILL PROVIDE MONTHLY DOCUMENTATION OF THE TUTORING SESSIONS TO STUDENT SUPPORT SERVICES.
Therapy(ies) checked above will be provided by Therapist Name/Location. If my insurance or scholarship does not cover it, I will pay the fee(s) to help my child be successful.I WILL PROVIDE MONTHLY DOCUMENTATION OF THERAPY SESSIONS TO STUDENT SUPPORT SERVICES.
By signing below, I acknowledge that I have read and agreed to the 2023 - 2024 Student Support Services Financial Agreement and fees.