top of page
Welcome
Learning Packets
Services
Shop
More
Use tab to navigate through the menu items.
Log In
0
Assessment Form
Child's Full Name
Child's Grade Level
Child's DOB
Parent's Full Name
Parent's Phone Number
What school does your child attend/ have attended?
What strengths do your child exemplify?
What are areas of weakness would you like to see your child strengthen?
What are your top three goals you desire to see accomplished within your child by the end of their duration with The Outlet?
How many days (sessions) per week would you like your child to be enrolled?
Submit
Thank you! We’ll be in contact with you
bottom of page
