If you are interested in registering your child for any of Attain Learning Center's programs, please fill out the pre-registration form below and an official application packet will be mailed to the street address that you provide. After acceptance into our program, your child will undergo a complete diagostic examination to determine which learning areas could benefit from our services. Please call (717) 730-7070 with any questions.

Services desired:
Referred by:
Enrolling parent's
first name:
Enrolling parent's
last name:
Home street address:
Phone number: 2nd child's information 3rd child's information 4th child's information
Child's first name:
Child's last name:
Child's grade:
Child's birth date
School name:
School city: