Child's name (Please complete a separate form for each child) *
Your answer
What grade will your child be entering in the fall *
Child's age *
Your answer
Complete Address: (end of Summer prizes to be mailed) *
Your answer
Allergies (for End of the Summer Surprise) *
Your answer
Your child's interests or needs: (This could include an IEP, or an educational disability, a favorite genre of books or a favorite non-reading activity) *
Your answer
Does your child have a reading requirement for the Summer? *
Please note any parts of the summer student is not available (like camp, vacations, other commitments): * *
Your answer
Are you ready for Our Summertime Reading Adventure?