Name of student
Date of Birth
Current Grade Level
Current School Year 2021-22
Next School Year 2022-23
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?
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 state the reasons you desire your child to be enrolled in the Learning Lab.
Please send a confirmation email to the address below*: