Name of student
Date of Birth
Date/Grade entered TCA
If applicable, date first entered Lower School Learning Lab
Describe your child's academic progress
(grades, strengths, weaknesses, when difficulty first became noticeable)
Previous special help programs and support:
Does you child currently recceive any outside tutoring?
If so, by whom?
Subjects tutored in:
Would you be in favor of outside tutoring if needed?
What extracurriculars and/or sports is your child involved in?
Please state the reasons you desire your child to be enrolled in the Learning Lab.
Is your child on medication?
Does your child have current testing (within 3 years) documenting a specific learning disability based on State of Texas Guidelines and/or ADHD?*
If so, name of tester:*
Date of testing*
Child's age and grade at time of testing*
Please send a confirmation email to the address below*: