A Step Above Specialized Learning Services -Family Interest Form

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Please complete the following form, so I can contact you and we can set up a consultation appointment to further discuss your needs! Thank you! ~ Diana

Name *

Email *

Phone number

Best Method of Contact

Phone Call

Text

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I am in Southern CA. What city and/or state do you live in? I ask, so I know what time-zone you are in, so we can connect at an appropriate time. :)

I am interested in

Individual Tutoring For My Child

Homeschool Curriculum Support

Parent Training

Homeschool Packages

Parent and Me Classes - music, crafts, socialization, early literacy skills, communication practice

Steps Together - A Special Needs Moms Support Program (in-person)

Steps Together - A Special Needs Moms Support Program (virtual)

Individual IEP Coaching/Advocacy

Breaking Down The IEP - $130 60 minute IEP session

IEP Workshops (in-person)

IEP Workshops (virtual)

Social Recreation Classes (children) - Step It Up Dance Party

Social Recreation Classes (adults) - Step It Up Dance Party

If interested in tutoring services, which of the following would work best?

In - Person (Murrieta)

Virtual (Zoom)

Open to either in-person or virtual

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If interested in tutoring, how many hours would you be interested in per week?

Learner's Age

Learner's Strengths and Interests

Areas of Growth for This Learner

What do you or your child need help with the most right now? If you don't know where to begin - that's okay too!

Additional comments or questions.

How did you learn about A Step Above Specialized Learning Services?

Facebook

Instagram

Through a friend

Other:

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