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Reading Club Registration form
Welcome! We'll need student info to follow up with further information. Please do not use @
bsd405.org
account.
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* Indicates required question
Email
*
Your email
Student First Name
*
Your answer
Student Last Name
*
Your answer
(If you're registering for a student) Full name of who is registering and relationship
Your answer
Student Age
Your answer
Grade
*
Choose
Kindergarten
1
2
3
4
5
Teacher's name
*
Your answer
Email (NOT @
bsd405.org
)
*
Please use personal email account as we cannot contact accounts on the @
bsd405.org
domain directly.
Your answer
If you're 2nd grade or higher, would you like to be a reading mentor?
We will set up (online) meetings for reading requests, and you can meet other Somerset readers to read to them. We'll only follow up if you select yes.
Yes
No
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