Between the Lines
Event Address: 909 W. Roseburg Ave. Modesto, Ca
Contact us at (209) 408-0957 or
Email address *
Between the Lines is a program designed to provide intense language support to young children, ages 2 to 4 years old. It is a play-based program, offering low-ratio facilitation and training. Parents drop off their child for a 90 minute class. We provide a snack during the class.
Email Address
Parent's Full Name *
Parent's Phone Number *
Child's First Name
Child's Age (years, months) *
Which areas of your child's development are you most concerned about? *
How would you describe your child's play skills? *
How would you describe your child's communication skills? *
Service History (describe in "Other") *
What days will you attend? *
Dietary restrictions/Allergies *
I understand that this program is a voluntary, privately-secured supplemental program and is not apart of my child's IFSP or IEP. I am fully responsible for the financial tuition of this program. *
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