Ray's Place Tuesday Night Tutoring/Reading Programs
Tuesdays this winter and spring, starting January 25th. Spring session goes until May 17th. Summer dates to return Mid-June.

Event Address: Ray's Place Community Center, 4363 N 6th Street, Harrisburg, PA, 17110
Contact us at 717-468-7975 or tpfaff@susumc.org for more information or with questions.
Maximum camp capacity: 35 students per week. Grades 1 to Grade 8.

Our Goal: We want to empower the students from Susquehanna Township School District, Central Dauphin ESL/ELL programs, and Harrisburg School District to remain on-grade level in their ELA skills to benefit them during the upcoming 2022-2023 school year. Specifically, we will achieve this goal by offering ELA focused activities, including personal and whole-group instruction each week.

Ray's Place Community Center is sponsored by Linglestown Life at Rockville Campus (4368 N 6th Street, Harrisburg, PA, 17110) and is a faith-based institution.
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Email *
Name of Student *
Student Grade Level
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School District My Student Attends
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Student's Mailing Address
Is the student related to anyone else you're registering separately? If so, what is their name?
First Language of Student
We welcome students from any language background as we help students work on English Language skills in this Literacy Camp; we ask this only to best prepare for and accommodate lesson plans, activities, and support for your student(s).
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Parent/Guardian(s) Name and Phone Number
Parent/Guardian Email *
Parent/Guardian Mailing Address
Allergies or dietary needs *
Emergency Contact for Your Student and Phone number: This person has permission to hear medical and other information regarding this student and to make decisions on the behalf of your student.
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Medical or learning needs of student that we should be aware of
Medical Insurance Carrier
Medical Insurance Policy Number
Medical Insurance ID Number
If your child has an IEP or a behavioral plan at school, are you willing to share the some or all information or share strategies to support your child at our facility?
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FOR PARENT / GUARDIAN: BY ENTERING MY NAME OR INITIALS, I UNDERSTAND THAT THIS STUDENT MAY BE PHOTOGRAPHED OR VIDEOTAPED WHILE PARTICIPATING IN SAID ACTIVITIES, AND I GRANT PERMISSION FOR A RECOGNIZABLE IMAGE TO BE POSTED ON APPROPRIATE LLUMC OR EDGE SOCIAL MEDIA PLATFORMS AND OCCASIONAL PRINT MEDIA.
I understand these camps are free to STSD and Harrisburg School District students, through donations from Linglestown Life and other organizations. Are you able or interested in donating snacks or volunteering?
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FOR PARENT / GUARDIAN: BY ENTERING MY NAME OR INITIALS, I GIVE PERMISSION FOR LLUMC AND RAYS PLACE COMMUNITY CENTER, ITS STAFF AND APPROVED VOLUNTEERS TO OBTAIN MEDICAL CARE FOR THIS STUDENT, AND I AUTHORIZE HEALTH CARE PROVIDERS TO RENDER SUCH CARE AS MAY BE NECESSARY. IT IS UNDERSTOOD THAT REASONABLE EFFORTS WILL BE MADE TO CONTACT ME PRIOR TO OBTAINING SUCH CARE, BUT I AUTHORIZE SUCH CARE WHETHER I AM CONTACTED OR NOT, AND I AGREE TO BE FINANCIALLY RESPONSIBLE FOR SUCH CARE. *
FOR PARENT / GUARDIAN: BY ENTERING MY NAME OR INITIALS, I AGREE TO DISCUSS WITH THIS STUDENT THE REQUIREMENT FOR HIM OR HER TO ABIDE BY ANY NECESSARY HEALTH AND SAFETY PROTOCOLS REQUIRED BY LLUMC IN ORDER FOR AN EVENT TO OCCUR. CURRENTLY THOSE INCLUDE BUT ARE NOT LIMITED TO WEARING MASKS, CHECKING TEMPERATURES, AND SOCIAL DISTANCING DURING EVENTS.
FOR PARENT / GUARDIAN: BY ENTERING MY NAME OR INITIALS, IN CONSIDERATION OF THE OPPORTUNITY OF THIS STUDENT TO PARTICIPATE IN THE ACTIVITIES OF LLUMC, I RELEASE LLUMC, ITS STAFF, AND ITS VOLUNTEERS FROM ANY AND ALL LIABILITY OF ANY KIND WHATSOEVER FOR ANY LOSS OR INJURY TO THIS STUDENT ARISING FROM ACTIVITIES ON OR OFF THE PREMISES OF LLUMC OR RESULTING FROM TRAVELING TO OR FROM THE ACTIVITIES OF LLUMC, INCLUDING LOSS OR INJURY RESULTING FROM NEGLIGENCE OR GROSS NEGLIGENCE. I UNDERSTAND AND AGREE THAT THIS PERMISSION AND AGREEMENT SHALL REMAIN IN EFFECT UNTIL REVOKED IN WRITING BY ME, AND I UNDERSTAND AND AGREE THAT IT IS MY RESPONSIBILITY TO UPDATE AND LISTED MEDICAL AND INSURANCE INFORMATION AS CHANGES OCCUR.
FOR PARENT / GUARDIAN: BY ENTERING MY NAME OR INITIALS, I UNDERSTAND THAT THIS STUDENT MAY BE PHOTOGRAPHED OR VIDEOTAPED WHILE PARTICIPATING IN SAID ACTIVITIES, AND I GRANT PERMISSION FOR A RECOGNIZABLE IMAGE TO BE POSTED ON APPROPRIATE LINGLESTOWN LIFE AT ROCKVILLE CAMPUS/LLUMC OR RAYS PLACE COMMUNITY CENTER SOCIAL MEDIA PLATFORMS AND OCCASIONAL PRINT MEDIA.
Would you be open to receiving regular updates about Linglestown Life to be informed with things happening at the church, at Rays Place Community Center, and in our neighborhood?
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