Pre-Registration for Our Summer Individualized Literacy Plan
Complete an interest form to be contacted by one of our admission team members.
Sign in to Google to save your progress. Learn more
Email *
Your first and last name *
Do you currently reside in the state of California? *
Please provide your phone number. A Cultivating Literacy representative will contact you within 5-7 business days. *
Please provide your child's grade level *
Required
Describe your child's reading and/or writing needs. Please check all that apply. *
Required
This program is designed to meet the needs of kindergarten through third-grade students who are experiencing difficulty in reading and writing. Currently, our program services children in the California area.
Clear selection
*All personally identifiable information such as names and email addresses will be kept private. All other information gathered will be used by Cultivating Literacy to help evaluate the child's needs and performance.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Cultivating Literacy. Report Abuse