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Children’s
Academy for Neurodevelopment & Learning
Child
History and Program Application
Being
the 'Best I Can Be'
learning
to live with prenatal exposure brain damage.
Alcohol - meth - cocaine - heroin - marijuana exposure in the womb.
Print this form from your computer,
fill out and mail or fax to CAN LEARN office.
After Can Learn has received your
form Toni will notify you by e-mail to discuss.
(client is responsible for phone charges)
CLICK HERE
TO OPEN APPLICATION FORM
It is a WORD DOCUMENT Please be patient
as it loads.
CAN LEARN PO
Box 10497 Spokane, WA 99209
(509) 624-3109 kidscanlearn@msn.com
Please fill out
separate form for each child.
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We
accept Master Card and Visa.
In some states post-adoption assistance may cover
our cost.
No insurance company covers the cost of academic testing or related
services at this time.
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