Reading Buddies

Child Application Form


CHILD'S INFORMATION

Gender


(Day-Month-Year)
What grade is your child in?



 Is this child in an Individual Education Program (IEP)?

If yes, can we contact their Resource Teacher for input?

PARENT / GUARDIAN INFORMATION

HOME ADDRESS

Which Reading Buddies session would you like your child to attend? Select all that apply.

Spaces for the Reading Buddies program are limited. Children will be chosen randomly by lottery. Successful applicants will be notified.

Failure to attend one session (without prior notification) will be met with a warning. If the child is absent from a second session, his or her spot will be given to someone on the waiting list.