Junior Youniversity-Royal Readers Online Book Club for Children (Ages 5-11)
Dear Parent:

Junior Youniversity invites you to sign up your child(ren) ages 5-11 in our upcoming 6-week Christmas online Bookclub starting November 6, 2021.

Your child will:

-Develop a love of reading
-Read and discuss fun and interesting books
-Improve their literacy and comprehension skills with lesson plans that have been created by an experienced elementary educator
-Read books that are kingdom focused and academically beneficial.
-Meet and interact with other kids that reside in different parts of the world

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If you would like your children to participate, please take a few minutes to complete the form below. The information you provide will help us to ensure that your child has the best possible experience on our program. We look forward to seeing your kiddos soon!

Please include ALL of your children's information on this form. If you are registering more than three children, there is a comments section at the end of the form where you can enter their details.
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Email *
Parent's Information
Name *
Phone Number *
City *
State *
Country *
Time Zone (e.g. MST / EST / WAT / GMT+1. If unsure, please tell us your city and your country) *
Child(ren)'s Information
How many children will you be signing up on this form? *
Child 1 Name - (First and Last Name) *
Child 2 Name -  (First and Last Name)
Child 3 Name -  (First and Last Name)
Child 4 Name - (First and Last Name)
Child 1 Date of Birth *
MM
/
DD
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YYYY
Child 1 Age *
Child 2 Date of Birth
MM
/
DD
/
YYYY
Child 2 Age
Child 3 Date of Birth
MM
/
DD
/
YYYY
Child 3 Age
Child 1 Gender *
Child 2 Gender
Clear selection
Child 3 Gender
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Child 1 Grade *
Child 2 Grade
Child 3 Grade
Child(ren)'s Reading Preferences
Child 1 Reading level *
Child 2 Reading level
Clear selection
Child 3 Reading level
Clear selection
Does Child 1 enjoy reading? *
Does Child 2 enjoy reading?
Clear selection
Does Child 3 enjoy reading?
Clear selection
Child 1  - Preferred Reading Format (You can select more than one option) *
Required
Child 2  - Preferred Reading Format (You can select more than one option)
Child 3  - Preferred Reading Format (You can select more than one option)
Child 1 - What genre of books is your child interested in reading? (You can select more than one option) *
Required
Child 2  - What genre of books is your child interested in reading? (You can select more than one option)
Child 3  - What genre of books is your child interested in reading? (You can select more than one option)
Home Technology
Do you have access to the internet in your home? *
What kind of technology is available in your home? (You can select more than 1 option) *
Required
Book Club Time Preferences
How often would you like the book club to meet? *
What day would be most convenient for your child to attend book club meetings? *
What time would be most convenient for your child to attend the book club? Please list a time and time zone (e.g. WAT/MST/EST or  if you are unsure of your time zone, please tell us your city and country) between the hours of 12.00pm-7.00pm. *
We are looking for volunteers to help teach some classes. Would you be interested in volunteering? *
Please add any other comments here
A copy of your responses will be emailed to the address you provided.
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