Select which learning group you are interested in:
*
Academic Fitness Camp Focusing on: Reading, Writing, and Math skills
TOT Time 3 years or younger Focusing on: Following directions, Turn taking, Play skills and socialization with embedded language therapy, Attention skills/attending to task, receptive and expressive language Vocabulary development)
K- readiness 4+5 years old Focusing on: Phonological awareness, Play skills/social interactions, Topic initiation/maintenance, Turn-taking skills, Following directions)
Summer enrichment Kindergarten - 5th grade Focusing on: Expressive/Receptive language skills, Auditory processing skills, Topic initiation/maintenance, Following directions, social /peer interactions, Reading comprehension
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Academic Fitness Camp Questionnaire
Child's First and Last Name
*
Child's Age
*
Child's Grade
*
Where do they attend speech services ?
Stony Brook (Suffolk Center for Speech)
Commack (Suffolk Center for Speech)
Wantagh (Suffolk Center for Speech)
Farmingville (Suffolk Center for Speech)
East Yaphank (Suffolk Center for Speech)
Jericho (Suffolk Center for Speech)
Lake Success (Suffolk Center for Speech)
Islip Terrace(Suffolk Center for Speech)
Other Speech Practice
An evaluation needs to be scheduled in order to place your child in the appropriate group. Select which days and times work best for you:
*
7/2
7/5
7/6
7/7
7/8
Preferred Time
*
Select which office(s) you'd prefer to have the evaluation take place.
*
Stony Brook
Commack
Islip Terrace
East Yaphank
Farmingville
Wantagh
New Hyde Park
Jericho
Upload Report card (This will determine testing used during the evaluation)
Browse Files
Drag and drop files here
Choose a file
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TOT Time Questionnaire
The 1 hour Group will focus on/Targeted Skills: Following directions Turn taking Play skills and socialization with embedded language therapy Attention skills/attending to task receptive and expressive language Vocabulary development
Child's first and last name
*
Childs date of birth
*
Which location would you like to attend the sessions in?
*
East Yaphank
Stony Brook
Lake Success
Days and times you are available:
*
Select days you are available
Select time of day available
Monday
Morning
Afternoon
Evening
Tuesday
Morning
Afternoon
Evening
Wednesday
Morning
Afternoon
Evening
Thursday
Morning
Afternoon
Evening
Friday
Morning
Afternoon
Evening
Do you have any concerns regarding your child’s speech and language skills?
*
Yes
No
What are you hoping to gain from this group?
*
Does your child receive speech services?
*
Yes
No
Does your child receive any other related services?
*
Yes
No
Does your child hold any type of diagnosis?
*
Yes
No
Does your child have any food allergies?
*
Yes
No
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K - Readiness Questionnaire
The 1 hour Group will focus on/Targeted Skills: Phonological awareness (rhyming, blending, segmentation)Play skills/social interactions Topic initiation/maintenance Turn-taking skills Following directions
Child's First and Last Name
*
Childs Date Of Birth
*
Which location would you like to attend the sessions in?
*
East Yaphank
Stony Brook
Lake Success
Days and times you are available:
*
Select days you are available
Select time of day available
Monday
Morning
Afternoon
Evening
Tuesday
Morning
Afternoon
Evening
Wednesday
Morning
Afternoon
Evening
Thursday
Morning
Afternoon
Evening
Friday
Morning
Afternoon
Evening
Do you have any concerns regarding your child’s speech and language skills?
*
Yes
No
What are you hoping to gain from this group?
*
Does your child receive speech services?
*
Yes
No
Does your child receive any other related services?
*
Yes
No
Does your child hold any type of diagnosis?
*
Yes
No
Does your child have any food allergies?
*
Yes
No
Was your child enrolled in a pre-k program for the 2020-2021 school year?
*
Yes
No
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Summer Enrichment Questionnaire
The 1 hour Group will focus on/Targeted Skills: Expressive/Receptive language skills Auditory processing skills Topic initiation/maintenance Following directions social /peer interactions Reading comprehension
Childs first and last name
*
Childs date of birth
*
Which location would you like to attend the sessions in?
*
East Yaphank
Stony Brook
Lake Success
Days and times you are available:
*
Select days you are available
Select time of day available
Monday
Morning
Afternoon
Evening
Tuesday
Morning
Afternoon
Evening
Wednesday
Morning
Afternoon
Evening
Thursday
Morning
Afternoon
Evening
Friday
Morning
Afternoon
Evening
What grade did your child complete during the 2020-2021 school year?
*
Do you have any concerns regarding your child’s speech and language skills?
*
Yes
No
What are you hoping to gain from this group?
*
Does your child receive speech services?
*
Yes
No
Does your child receive any other related services?
*
Yes
No
Does your child hold any type of diagnosis?
*
Yes
No
Does your child have any food allergies?
*
Yes
No
Did your child complete the school year at grade level?
*
Yes
No
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Please select amount of sessions you would like to attend
Please choose one. YOU WILL NOT BE BILLED NOW.
TOT Time
*
1 session $25.00
2 sessions $50.00
3 sessions $75.00
5 sessions (1 free session) $100.00
K - Readiness
*
1 session $25.00
2 sessions $50.00
3 sessions $75.00
5 sessions (1 free session) $100.00
Summer enrichment
*
1 session $25.00
2 sessions $50.00
3 sessions $75.00
5 sessions (1 free session) $100.00
Academic Fitness camp (Individual Sessions)
1 session $120.00
2 sessions $240.00
3 sessions $360.00
4 sessions $480.00
5 sessions $600.00
6 sessions $720.00
Mandatory evaluation fee $150.00. (This academic screener is required to allow for proper placement in the fitness camp)
Academic Fitness camp (Group Sessions)
1 session $30.00
2 sessions $60.00
3 sessions $90.00
4 sessions $120.00
5 sessions $150.00
6 sessions $180.00
Mandatory evaluation fee $150.00. (This academic screener is required to allow for proper placement in the fitness camp)
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Parent Contact Information
Parent Name
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Submit
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