S.A.L.L.I. Tutoring Application
Pre-register Please
We ask parents to preregister their children because we are a small camp. We only accept 25 students. We suggest preregistration to hold your child's spot. Preregistration is free. You will not be asked to make a payment until your registration materials are completed.
Thank you for your interest in Salt and Light's Summer Camp-"Small Scholars."
To Pre-register, send the following info to
Parents' names, address, phone numbers (home/cells),
email address.
Childrens' names, ages, grades.
School name
What weeks are you interested in reserving a spot?
(Listed below is the data we require for registration. Please have all information available when you come to fill out your registration materials.
Salt and Light Learning Institute Registration
Email to Rachel Slaughter at saltandlight2008@hotmail.com
Please fill out a separate registration form for each child.
Parent's Name:__________________________________________
Primary Parent's Home Phone:_____________________Cell______
Email Address:__________________________________
Home Address where child's mail can be sent:__________________________
_____________________________________________________________________
_____________________________________________________________________
Who will be the child's 2 primary pick-up persons? Please list each person's name and identification. For example; Mary Wilson, Lulu's grandmother
_____________________________________________________________________
_____________________________________________________________________
Child's Name:____________________________________________________
School Name:_____________________________________________________
School Address:___________________________________________________
Child's Grade:____________________________________________________
Please explain the child' academic difficulty in school:
__________________________________________________________________________________
__________________________________________________________________________________
Please list the services that you are seeking:
_____________________________________________________________________
_____________________________________________________________________
Please describe your child's strengths and interests:
____________________________________________________________________
_____________________________________________________________________
Is your child in special classes or possess an IEP:_______________________
Explain:______________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Additional Questions:
Do you possess a computer with working internet access?
Are you willing to receive S.A.L.L.I. information and updates via the internet?
Are you a member of Facebook?________Do you have a Pay Pal account?________
Are you willing to volunteer your time to assist in some S.A.L.L.I. events?
