Beacon Arts Prime Time Family Reading Application March 10-April 14 2026

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Thanks for your interest in Beacon Arts' Prime Time Family Reading Program for Children 3-5 years old and their families.

We are currently enrolling for a 6 week series, Tuesday nights 5:30 -7:00 pm beginning on March 10, 17,24,31,April 7 & 14. Complete this form and we will contact you to confirm your enrollment. Space is limited. Folks not enrolled this series, will be contacted regarding future series as they are scheduled.

Full name of Parent /Guardian who will be attending
*

Second Parent /Guardian who will be attending (optional)

home address *

phone number

Name of Child attending

First Child's date of birth *

Name of second Child attending

Second child's date of birth

Name of third Child attending

Third Child's date of birth

Name fourth Child attending

Fourth child's date of birth.

A meal will be served at 5:30pm for the first 20 minutes of each program. Does anyone in your family have food restrictions or allergies? Please list details.

Are you eligible for free or reduced school lunch? *

Yes

Has your family attended a Prime Time Family Reading Program in the past? *

yes

What is your preferred form of communication? *

Phone

Text

What language do you speak at home? *

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