Reading Buddies Sign-up Form

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Hi parent,

We are so happy that you are thinking about signing up for Reading Buddies. All you have to do is fill out this contact form and we will send out an email to you telling you if we have space in the program for your child.

If you have any questions feel free to contact us: lsrb404@gmail.com

Email *

Your name *

Your child's name *

What sessions would you like to come in for? (The slash means there will be a break in the program schedule for 1 week)

Session 3 ( Feb 1- Feb 15 / Mar 1 - Mar 15 )

Session 4 ( Mar 22 - Apr 12 / Apr 26 - May 10 )

Session 5 ( May 17 - Jun 14 )

Which time slots would you be available for?

4:00-4:30 pm

4:30-5:00 pm

5:00-5:30 pm

5:30-6:00 pm

Do you have any questions, comments, or concerns?

Send me a copy of my responses.

Submit

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