Where

District Heights Family & Youth Services Bureau

6421 Atwood Street
District Heights, MD 20747

Event Address Map
Driving Directions

Contact

Ronnetta Stanley
Loud Voices Together Educational Advocacy Group
301-919-7282

2021 Saturday Summer Literacy Clinic Registration Form

Hosted by Loud Voices Together Education Advocacy Group Inc. Sponsored by: Dollar General Literacy Foundation In partnership with: District Heights Family & Youth Services Bureau

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Student Information

  • Summer Literacy Clinic every Saturday, August 7th-28th 10 am - 1 pm. A photo release form will be sent separately after registration is completed. Parents will be able to grant or refuse consent for their student to be photographed. Baseline assessments will be administered online to understand student performance and individualize instruction during the in-person learning session.

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    Student's gender identity

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    Does your child have an IEP or Section 504 plan?

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    Are you concerned about your student's academic progress ?

Health Information

  • A daily health screening form is required to attend in-person clinic sessions. LVT will provide the electronic form once you are registered. Students will be required to wear a mask during the clinic unless there is a doctor's note provided. Temperature checks will be conducted at all in-person learning sessions.

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    Allergies or dietary restrictions? Examples: nuts, soy, gluten

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    Is the student able to wear a mask? A doctor's note will be required if the student is unable to wear a mask during the clinic.

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    Has the student been immunized? (*Not the COVID-Vaccine*)

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    Has the student or someone that has been in contact with the student tested positive for COVID-19 in the last 14 days?

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Parent/Guardian Information

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    Relation to student

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Register