Second Grade After School Reading Intervention Program
Please provide a response for each item below to indicate your intention for your child to participate in the after school reading program.

The program begins on Wednesday, November 4, and will occur every Tuesday, Wednesday, and Thursday from 3:00 PM to 4:00 PM for the following eight weeks of school. All classes will be remote and each teacher will have a Google Classroom.
I understand that by clicking "submit" at the end of this survey, I am committing my child to participate in the Second Grade After School Reading Intervention Program.
School Name *
Student Last Name *
Student First Name *
Student Second Grade Teacher's Last Name
Parent/Guardian Last Name *
Parent/Guardian First Name *
Parent/Guardian Phone *
Parent/Guardian Email *
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