Summer 2008 Registration Form

Sherrie Glass * Reading Consultant

Tracy Conner, Associate

5925 Kirby Drive, Suite 202    Houston, TX 77005
VOICE: (713) 664-3398  EMAIL: readglass@gmail.com WEBSITE: 
www.readingweb.net


Name______________________________________Telephone____________________
Grade________________School_____________________________________________
Person responsible for the bill: ___________________________________
Address_________________________________________________________________
City_____________________________________State_____________Zip___________
Telephone: (H)_______________________(O)______________________
  (C)_______________________  Email: ___________________________
Goals for lessons: _______
_________________________________________________________________
________________________________________________________________________


Schedule:

Lessons will be given Tuesday, Wednesday, Thursday and Friday at 10am, 11am, noon, and 1pm.
All lessons are by appointment. Appropriate conduct is required.
 

Please initial each box:
One week’s notice is required for schedule changes, so check your holiday schedules. No excuses, please. Write these requests in the notebook in the bookcase in the front room, or leave a message on the answering machine.
Payments: Lessons are $55 per hour. Payment is due two weeks in advance. A deposit of $220 is required at sign-up. Payment may be made in cash, by check, or Mastercard/Visa.

Course Offerings

PLEASE CHECK THE COURSES YOU WANT TO TAKE

Learn to Read (K-3)
Learn Math (K-12)
Read to Learn/ Efficient Studying (4-12)
Tune in to Test Prep (PSAT/ SAT/ ISEE/ SSAT/ ERB/ OLSAT/ Naglieri)
Speed Reading that Lasts (Mid Sch/HS/Adult)

Initial Evaluation (required for new students): $130

Please check the dates and times you want to come.

Summer Course Dates
Tuesday Wednesday Thursday Friday
June 3 June 4 June 5 June 6
June 10 June 11 June 12 June 13
June 17 June 18 June 19 June 20
June 24 June 25 June 26 Jun 27


Start Time:
10:00 am 11:00 am 12:00 pm 1:00 pm


Lesson Length:
1 Hour 1.25 Hours 1.5 Hours 2 Hours

You can make a copy of this form using the "Print" button on your web browser, and mail it to:

Sherrie Glass - Reading Consultant
5925 Kirby Drive Suite 202
Houston, TX  77005