Please fill in the
following form and you will be contacted by a Metro West staff member to
confirm your registration and learn more about the needs of your student.
Questions? Contact us!
Student Name
Parent Name
Street Address
City, State, Zip
Phone Number
Email Address
Gender
Female
Male
Age
Birthday
Sessions*
Preschool Social Language Group ($180/mo)*
August Groups,
times/days based on demand, 1 hour/wk
September Groups,
times/days based on demand, 1 hour/wk
October Groups,
times/days based on demand, 1 hour/wk
Club CLUE Social Language Group ($180/mo)*
August Groups,
times/days based on demand, 1 hour/wk
September Groups,
times/days based on demand, 1 hour/wk
October Groups,
times/days based on demand, 1 hour/wk
Teen TALK
Social/Language Group ($180/mo)*
August Groups, times/days
based on demand, 1 hour/wk
September Groups, times/days
based on demand, 1 hour/wk
October Groups, times/days
based on demand, 1 hour/wk
Super Flex
Summer Camp, Grades K-5 ($255 per week)
July 28-August 1, 9:00am-Noon,
Perspective taking/communication and flexible thinking
August 11-15, 9:00am-Noon,
Being part of a group, and expected/unexpected
Day and Time Preference for Unscheduled
Groups
First Choice
Second Choice
Comments
*Please note: Payment is due in full on the first
day of a new session. Metro West accepts cash, check and Visa/Mastercard.
With the help of Club CLUE my daughter has built significant
communication skills, become more self aware, and more tuned in
to others' feelings and thoughts. The staff at MWLC takes
time with parents to summarize each session and describe how it
can be applied at home and school. The center also
provides a great avenue to network with parents of children with
similar LDs, and share our hardships and triumphs!
-Michelle
MWLC Parent