Second Grade After School Reading Intervention Program
Please provide a response for each item below to register your child in the after school reading program.

The program begins on Tuesday, November 2, and will occur every Tuesday and Thursday from 3:30 PM to 5:00 PM for the following eight weeks of school. All classes will be in person at the school your child attends.
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I understand that by clicking "submit" at the end of this survey, I am committing my child to participate in the Second Grade After School Reading Intervention Program.
School Name *
Student's Last Name *
Student's First Name *
Student's ID Number *
Teacher's Last Name
Parent/Guardian Last Name *
Parent/Guardian First Name *
Parent/Guardian Phone *
Parent/Guardian Email *
I will ensure my child participates in the reading program everyday that it occurs and I will attend parent meetings when they occur. *
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