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"Interest List" Raising a Reader (0-5 years old)
If you are selected to participate in this series a Thrive to Five staff member will contact you within 7-10 business days before the start of this class./
Si es seleccionado para participar en esta serie, un miembro del personal de Thrive to Five se comunicará con usted dentro de 7 a 10 días hábiles antes del inicio de esta clase.
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Email
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Families who participate in the program for the 8 weeks, will receive 12 high-quality children’s books to build their home libraries./Las familias que participen en el programa durante las 8 semanas recibirán 12 libros infantiles de alta calidad para construir las bibliotecas de sus hogares.
Adult First and Last Name/
Nombre y apellido del adulto
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Your answer
Phone Number/
Número de teléfono
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Your answer
Zip Code/
Código postal
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Your answer
Only 2 children per family, ages 0-5 years old, will be allowed to attend this in-person session. Please list the NAME(s) of the child(ren) who will be attending this session./
Solo 2 niños por familia, de 0 a 5 años de edad, podrán asistir a esta sesión en persona. Indique los NOMBRES de los niños que asistirán a esta sesión.
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Your answer
Please list the AGE of the child(ren) who will be attending this session./
Indique la EDAD de los niños que asistirán a esta sesión.
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Your answer
Is this your first participating in Raising a Reader?/
¿Ha participado en Criar a un lector antes?
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Yes/Sí
No
Thrive to Five understands that there may be a time where you may be absent due to unforeseen circumstances. Are you able to confirm that you will most likely attend 8 consecutive Fridays for this series?/
Thrive to Five comprende que puede haber un momento en el que puede estar ausente debido a circunstancias imprevistas. ¿Puede confirmar que lo más probable es que asista a 8 viernes consecutivos para esta serie?
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Yes/Sí
No
Family's Preferred Language Spoken at Home?/
¿El idioma preferido de la familia que se habla en casa?
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Your answer
How did you hear about Raising a Reader?/
¿Cómo supo de criar a una lectora?
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Your answer
Please select the session you would like to attend/
Seleccione la sesión a la que le gustaría asistir:
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Fridays at 9:30 -10:30 a.m., April 5th, April 12th, April 19th, April 26th, May 3rd, May 10th, May 17th and May 31st
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A copy of your responses will be emailed to the address you provided.
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