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RSVP Form - Open House

Yes! Please sign me up for the

Academy In Manayunk Open House
for Parents and Professionals

Wednesday, October 22, 2008

10:30 to 12:00 noon

169 Conarroe Street, Philadelphia, PA 19127
Click here for driving directions to the school

Name: First: Last: required field

Street address:

City: ,  State:   Zip:

Email address: required field

Daytime Phone:  

Names of additional people attending:  

I am:
the parent of a child with a learning disability
a psychologist or other professional who refers children
a teacher or other professional interested in learning about open positions
other: please specify

If you are the parent of a child with a learning disability:

Boy    Girl            Current school:        

Child's current grade:          Current age:

How did you hear about us?  

Comment: