Summer Skills Class Form

Please complete and print this application. Mail it to: Learning Power, LLC, Riverdale Farms, 152 Simsbury Road, Avon, CT 06001. Make checks payable to Learning Power, LLC or complete the credit card information section for payment by VISA or Mastercard (We cannot accept Corporate Credit Cards).

Student Information:
Student Name: Date of Birth
School Name: Grade '07-'08:

Contact Information:
Name:
Street Address: Line 1 --

Line 2 --
City: State:  
Zip/Postal Code: Country (if not U.S.A.):
Daytime Phone:   with Area Code
Work Phone:   with Area Code Ext:
Cell Phone:   with Area Code

Summer Skills Classes

Math Booster Grades 3 - 5
July 7 - 23 (Monday & Wednesday)
9:00 am - 10:00 am
$175.00
Eager Readers Grades 2/3,4/5
July 8 - 24 (Tuesday & Thursday)
9:00 am - 10:30 am
$175.00
CMT Writing Grades 4 - 8
July 8 - 24 (Tuesday & Thursday)
10:30 am - 12:00 pm
$175.00
SAT or ACT Diagnostic Testing Only Grades 10 - 12
August 16 (Saturday)
9:00 am - 1:00 pm
$250.00 for both or $135 SAT or ACT test
"Jump Start" Study Skills Grades 6 - 8
August 18 - 22 (Monday - Friday)
10:00 am - 12:30 pm
$350.00
Learning Power's MASTER STUDENT Skills Grades 9 - College
August 18 - 22 (Monday - Friday)
1:00 - 4:00 pm
$435.00
SAT I Math & Verbal Prep Course Grades 11 - 12
August 18 - 29 (Monday - Thursday)
6:00 pm - 9:00 pm
$875.00 32 hour course
(Pre-Test Date Aug. 16th 9:00 am to 1:00 pm)
SAT I Math ONLY Grades 11 - 12
August 18 - 29 (Monday - Thursday)
9:00 am - 1:00 pm
$495.00
SAT I Verbal ONLY Grades 11 - 12
August 18 - 29 (Monday - Thursday)
9:00 am - 1:00 pm
$495.00
Reading Efficiency aka Speed Reading Grades 9 - College
August 18 - 22 (Monday - Friday)
11:00 am - 12:30 pm
$375.00
 
FOR CREDIT CARD USE:  VISA        Mastercard        Exp. Date /
Credit Card Number: - - -
A full refund for withdrawal will be given ten days prior to the first class session. No refund or adjustment of fees will be made for absence or dismissal of a student whose presence is a detriment to the program. No supervision of students will be provided by Learning Power, LLC before or after sessions. Learning Power, LLC reserves the right to cancel any scheduled class due to insufficient enrollment.
A MINIMUM ENROLLMENT OF 5 STUDENTS IS REQUIRED PER CLASS.
FULL PAYMENT IS DUE WITH APPLICATION!
I have read the statements above and understand the terms of enrollment.

PARENT OR LEGAL GUARDIAN'S SIGNATURE:

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