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Does your child have an Individualized Education Plan (IEP)? Does your child have an Individualized Education Plan (IEP)?YesNo

Please tell us what your child needs tutoring help with:

Requested Tutoring (Check all that apply) Requested Tutoring (Check all that apply) Reading - Phonics & Decoding Reading Comprehension Written Expression Vocabulary Dyslexia or Dysgraphia ADD & ADHD Homeschooling or Homework Assistance

I agree to the following: I agree to the following: By filling out this form, I am authorizing Pam's Reading to obtain any information from your school system or any additional information regarding your student school work and testing. To the best of my knowledge all questions have been answered correctly.

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I'm interested in learning more about: I'm interested in learning more about:Summer Program K-12Summer Program Pre-KReading - Phonics & DecodingReading ComprehensionWritten ExpressionVocabularyDyslexia or DysgraphiaADD & ADHDHomeschooling or Homework Assistance

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