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Warning Signs of Dyslexia
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Name
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Email
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Phone
Child's Name
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Age of the Child
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Please provide a brief description of your child's struggles.
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Please list all formal diagnoses and suspected diagnoses.
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Please list your child's availability for tutoring (days and times).
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Tell more about your child, and how you hope Mrs. Martin can help.
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I Understand the Following (Check Each Box):
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Mrs. Martin provides reading/spelling tutoring only
Tutoring sessions need to occur no less than twice weekly for student success
Sessions are prepaid for the month in advance
Sessions may be reimbursable under Step Up For Students' scholarships
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