A separate application is required for each individual.
Fields marked with an * are required.
Evaluation Cost:  
$350.00 for Full Evaluation
$250.00 for Expressive only
$100.00 for Receptive only

There is a $25 Cancellation fee for cancellations <7 days before event.
There is a $25 Late Fee when Register <7 days before event.

Payment must be included with your application.
For payment by Purchase Order, Email a copy of the PO to seecenter@seecenter.org.  
For payment by Check or Money Order, mail payment to:

S.E.E. Center for the Advancement of Deaf Children
P.O. Box 1181
Los Alamitos, CA  90720-1181

Payment must be received 4 business days from reciept of registration or your place will be released.
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