Student's First and Last Name (list multiple if applicable) *
Your answer
Parent's First and Last Name *
Your answer
How did you hear about our reading program and tutoring club?
Clear selection
What level(s) are you interested in? *
Required
Are you interested in a weekly private Zoom call? *
Are you familiar with the Zoom platform? *
What time of day would work best for a private Zoom call?
Time
:
AM
PM
Which date would work best for your you and your student to have your first Zoom session?
MM
/
DD
/
YYYY
Would you be interested in group Zoom sessions (depending on the level, your child may participate in story time, book club meetings, or read alouds)? *
How old is/are your child(ren)? List age and grade from this past year for each child: *
Your answer
Which of the following do you feel best describes your child? Check all that apply *
Required
List any weaknesses or strengths that you know of pertaining to your child's reading skills and abilities *
Your answer
Which types / genre of books is your child interested in? Check all that apply *
Required
How can we best contact you? Check all that apply *
Required
Would your child be interested in any of our other services? Check all that apply
*For ages 9+: I would like to receive a weekly extension activity for the book my child is reading with the program
Clear selection
I am aware that services from Maddy & Megan's Tutoring Club are completely free *
Required
I would like to receive emails about Maddy & Megan's Book Club and other tutoring updates / learning opportunities *