Open House RSVP

     Yes! Please sign me up for the  

Open House for Parents and Professionals

at AIM~Academy In Manayunk
169 Conarroe Street
Philadelphia, PA 19127

Name: First: Last: required field

Date attending: 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/difference
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/difference:

Boy    Girl            Current school:        

Child's current grade:          Current age:

How did you hear about us?  

Comment: