Summer Enrichment Sign UP
Please fill out this form to sign your child up for Summer Enrichment through Melody Poggio Tutoring and Circle Speech Therapy. You must fill out one response per child. Billing will come separately within 48 hours. Without payment, your post is not confirmed. If you have any questions, please reach out to Melody at 218.240.1657.

You are encouraged to sign your student up for all three two-week session (6 weeks in total) as different skills be addressed during each meeting, however, only one two-week session is required to sign up. Classes will take place at Melody Poggio Tutoring, 5108 Beaver Creek Road, Hermantown, MN.

Session One
Afternoon Class 12 pm - 3 pm
Evening Class 4 pm - 7 pm
Dates:
July 11, 13, 18, 20

Session Two
Afternoon Class 12 pm - 3 pm
Evening Class 4 pm - 7 pm
Dates:
July 25, 27, August 1, 3

Session Three
Afternoon Class 12 pm - 3 pm
Evening Class 4 pm - 7 pm
Dates:
August 8, 10, 15, 17
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Please see dates and times above for more information.

My child will attend the following sessions (MUST CHOOSE AT LEAST ONE):
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Required
Parent First and Last Name
 *
Student First and Last Name *
What is your student's preferred pronouns? *
Grade Student will complete for THIS school year (2022-2023) *
Parent/Guardian Phone Number
Parent/Guardian email address (required for billing and communication purposes) *
Parent/Guardian Home Address
 *
Does your student have an Individualized Education Plan (IEP)?
 *
If you answered yes, please describe what the IEP provides (services, purpose, etc).
What does your student like about school?
What does your student dislike about school?
Does your student have any physical restrictions? Allergies? *
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