Fort Memorial Hospital
611 Sherman Avenue East
Fort Atkinson, WI 53538
(920) 568-5000 | La linea de mensajes: (920) 568-5001

Speech Kids

 

REGISTRATION INFORMATION

  • Register your child for this activity by selecting the session below and filling out the pertinent information.
  • Please submit a completed Health Intake Form (additional link and instructions below) before June 1, 2022.

HEALTH INTAKE FORM INSTRUCTIONS

AFTER you have registered for this class session, please:

  1. Download and save the Health Intake Form pdf file to your computer or mobile device.
  2. Open the pdf file from the place that you saved it.
  3. Fill out the form fields.
  4. Save the file with a new name.
  5. Attach the new pdf file into an email message and send it directly to annie.loof@forthc.com.

 

DOWNLOADS

Session 1 - 0 spots available

Instructor:

Multiple Instructors

Class Dates:

Session 2: July 18-July 29, 2022  8:15am-9:00am. 

Total of six (6) class dates, running Monday/Wednesday/Friday for 45 minutes each.

A completed Health Intake Form (see above) with photo consent is required, as well as completing this class registration.

Price:

$100

Location:

Fort HealthCare at Madison Avenue
1504 Madison Avenue
Fort Atkinson, WI
View Map ›

Room / Area:

Therapy and Sport: Fort Atkinson

Session 2 - 0 spots available

Instructor:

Multiple Instructors

Class Dates:

Session 2: July 18-July 29, 2022  1:15pm-2:00pm

Total of six (6) class dates, running Monday/Wednesday/Friday for 45 minutes each.

A completed Health Intake Form (see above) with photo consent is required, as well as completing this class registration.

Price:

$100

Location:

Fort HealthCare at Madison Avenue
1504 Madison Avenue
Fort Atkinson, WI
View Map ›

Room / Area:

Therapy and Sport: Fort Atkinson

Session 3 - 0 spots available

Instructor:

Multiple Instructors

Class Dates:

Session 2: July 18-July 29, 2022  4:15pm-5:00pm

Total of six (6) class dates, running Monday/Wednesday/Friday for 45 minutes each.

A completed Health Intake Form (see above) with photo consent is required, as well as completing this class registration.

Price:

$100

Location:

Fort HealthCare at Madison Avenue
1504 Madison Avenue
Fort Atkinson, WI
View Map ›

Room / Area:

Therapy and Sport: Fort Atkinson