In-Person Compensatory Service Registration Form
The program will run 9AM - 12PM on Saturdays, April 23 - June 25.
Transportation and meals will be provided.
Per your child’s COVID-19 Compensatory Services (CCS) Agreement, services may be offered in the following areas: academics, speech therapy, occupational therapy, and ABA.

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Email *
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Student Name *
Date of Birth *
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What grade is your student in? *
Student's School: *
Student ID
Parent Name *
Parent Email *
Parent Phone Number *
In-Person compensatory services will occur between 9AM - 12PM on Saturdays beginning April 23rd.  Per your child’s CCS Agreement, services may be offered in the following areas: academics, speech therapy, occupational therapy, and ABA. Would you like to register your student for services? *
Is there anything else you'd like to share with us?
A copy of your responses will be emailed to the address you provided.
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