Thank you for completing the lesson registration request form.
You will now be redirected back to the forms page. All applicants must complete the 2021 online application/waiver (this will be available after January 1, 2021). and print the physician’s statement. Your physician must complete, sign, date the form and then return to LTR, Inc. via email, or by postal mail. If you submitted a physician's statement in the last quarter of 2020, this form may not be required until the second quarter of 2021.
Optional* If the applicant receives treatment from a
physical therapist, occupational therapist, mental health professional, or a speech/language pathologist (SLP, please download a therapist assessment form or you may direct your therapist to the forms
page to download a copy.
The LTR Program Director will contact you with a final schedule. Invoices for program service fees will be sent by email.