JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
FREE Family Reading Program with Reading Connections
Sign in to Google
to save your progress.
Learn more
Reading Connections
336-230-2223
awelch@readingconnections.org
WhatsApp: 336-279-7261
Come learn with us! Parents/caregivers develop English language and literacy skills and learn strategies to support your child's education. Children develop skills for success in kindergarten and beyond!
Parent/Caregiver Name
Your answer
Parent/Caregiver Phone Number
Your answer
Parent/Caregiver Email
Your answer
Your Zip Code
Your answer
I am interested in participating in a FREE family reading program with my children in Greensboro or High Point.
Yes, Greensboro
Yes, High Point
Maybe
No
Clear selection
My first language is...
English
Arabic
Spanish
French
Karen
Karenni
Kinyarwanda
Jarai
Rhade
Swahili
Urdu
Vietnamese
Other:
Clear selection
The ages/grades of my children (check all that apply)
Age 0-2 (infants/toddlers)
Age 3-5 (not in school)
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th, 7th, or 8th Grade
Other:
I am available these days and times (select that all that work for you):
Monday and Wednesday, 10am-1pm
Tuesday and Thursday, 10am-1pm
Monday and Wednesday, 4:30-7:30pm
Tuesday and Thursday, 4:30-7:30pm
No preference
I understand that parents/caregivers must attend with their children.
Yes
No
Clear selection
I understand that I (parent/caregiver) must take a test to determine my literacy level in English.
Yes
No
Other:
Clear selection
How did you hear about this program?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Reading Connections.
Report Abuse
Forms
