Reading Reach 2024
Structured Literacy Group Tutoring Class - Begins February 1, 2024
-Reading, phonics, and spelling 
-Orton-Gillingham approach 
-Approximately Four students per group
-Tuesdays and Thursdays from 4:30-5:20pm at 2181 El Camino Real, Oceanside, CA. 92054 
-$350/month auto-debit subscription
Sign in to Google to save your progress. Learn more
Email *
Student Name *
Student Birthdate *
MM
/
DD
/
YYYY
Student Grade Level (2023-2024 school year) *
Parent Name *
Parent Phone Number *
Street Address *
City, State *
Zip *
How is your child schooled? *
You understand that the class begins February 1, 2024.  The class meets Tuesdays and Thursdays from 4:30-5:25pm at 506 S. Nevada St. Oceanside, CA. 92054.  *
Required
Does your child have any allergies? Please be specific (or enter n/a). *
Does your child have any learning differences we should be aware of?  Does your child have special preferences or needs?
Do you have a specific literacy goal for your child, or an area to focus attention on?
Do you agree:  
A) To pay $350 per month on an auto-debit subscription; 
B) There are no make up lessons if a class is missed; 
and C) To give 30 days notice for withdrawal of enrollment?
 *
I, for and on behalf of myself and my child, agree to hold harmless and further covenant not to sue Reading Reach, its officers, and employees against any/all loss, damage, injury, and/or liability that may be suffered or incurred by Reading Reach, its officers, and employees and against any and all claims, demands and causes of action that may be made or brought against Reading Reach, its officers, and employees caused by, arising out of, or in any way connected with Reading Reach. I will notify Reading Reach if I do not wish for my child's photo to be posted for educational or marketing purposes. 
I hereby indemnify Reading Reach, its officers, affiliates, partners, and employees from any and all claims which may arise as a result of my child's/family's enrollment and/or participation in the activities of Reading Reach.
 *
Parent Digital Signature (type name to represent a legal binding signature, if information is correct and true) *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Reading Reach. Report Abuse
Google Forms