1. education
2. school

THIS SUMMER….
Promoting Executive Function Skills in
Middle and High School Students
The Master YOUR Mind course
for 7th -12th graders is back by
popular demand this summer. This
12.5 hour workshop-based course
helps students learn and practice
strategies that will improve critical
executive function skills necessary
for success in school, including:.
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Goal setting and motivation
Organization and time
management skills
Planning for long term
assignments
Effective active reading and
note taking strategies
Remembering strategies
Studying and test taking
strategies
In the Master YOUR Mind course,
taught by experienced educational
therapists, students will have the
opportunity for guided practice,
group activities, and independent
work. They will leave with their
own personalized strategy
notebooks that they can use as a
resource when they return to
school.
Session Dates and Information
WHO:
Students entering grades 7– 12
WHEN: Middle School: August 17-21 9:30-12:00
High School: August 10-14 9:30-12:00
High School: August 17-21 1:00- 3:30
WHERE: ILD Offices
4 Militia Drive, Suite 20,
Lexington, MA 02421
FEE: $695.00* Register by June 30 for $625
* $35 materials fee
REGISTER BELOW
For more information and to check on availability, call
Donna Kincaid at 781-861-3711, ext. 111 or email
dkincaid@ildlex.org. Due to limited space, there is a 10
student maximum per class. Students will be registered on a
first come, first served basis.
Classes fill up fast, so register early!
“Master Your Mind” Workshop
Summer 2015 Sign-Up Form
Date of Registration: ________
Please check: Middle School____ or High School____
Child’s Name: _____________________________ Date of Birth: ____________
Grade entering in fall: ______
Age: ____
School: ______________________________________
Parents’ Names: _______________________________________________________________
Street Address: ____________________________________________________________
City: ___________________ State: _________ Zip: _____________
Phone Numbers: Home ______________ Cell ______________ Work ______________
E-mail address: _____________________________________________________
How did you learn about this course? ___email ___ website ___ friend ____ professional
____ other:______________________________ (Please specify)
Please indicate your session choice below.
Middle School:
High School:
___August 17-21 9:30-12:00
___August 10-14 9:30-12:00
or ___August 17-21 1:00-3:30
PAYMENT:
Register before June 30th $625
Regular Cost: $695*
*Materials fee: $35
I am paying by:
Credit Card: ________
Visa ____
Check (made payable to ILD): ________
MasterCard ____
Card number: ________________________________
Expiration date: ______________________________
Please send this form with your payment to:
Donna Kincaid, M.Ed.
ILD
4 Militia Dr, Suite 20
Lexington, MA 02421
Note: Students will be registered on a first come, first served basis. Due to limited space, there will be a
maximum of 10 students per course. You will be contacted once the class is formed. For more information,
call 781-861-3711, ext. 111 or e-mail Donna Kincaid at dkincaid@ildlex.org.
th
Cancellation Policy: Due to the limited number of spaces in the class, refunds will not be made after June 30 unless
your child’s slot can be filled. A $25 processing fee applies to all cancellations. For exceptional circumstances, please call
our office.
Please answer the following questions to help us to learn more about your child.
You might be contacted for additional information about your child prior to the course.
*You may also request a parent consultation prior to the course for an additional fee.
What are your child’s academic strengths?
________________________________________________________________________________________
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What does your child have difficulty with in school?
________________________________________________________________________________________
______________________________________________________
Is your child receiving any services or accommodations in school or outside of school?
________________________________________________________________________________________
______________________________________________________
What are your child’s extra-curricular interests?
________________________________________________________________________________________
______________________________________________________
Is there anything else you would like to tell us about your child?
________________________________________________________________________________________
________________________________________________________________________________________
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