Spring 2021 Reading Camp Book Buddies Registration - Waitlist
Hello! All spaces for our Spring program are currently full. Please complete the form if you would like to be notified in case a space becomes available.
Please complete the following form if you would like your child to receive a bundle of books and attend weekly online meetings with a volunteer mentor. Spots in this free program are limited and completing the form does not guarantee a space in the program.
* Required
Email address
*
Your email
Parent/Guardian Name
Your answer
Parent/Guardian Phone Number
Your answer
Street Address
Your answer
City, State, Zip Code
Your answer
County of residence:
Your answer
Language Spoken at Home
English
Spanish
Swahili
Other:
Clear selection
Child's Name
Your answer
Child's Gender
Female
Male
Prefer not to say
Other:
Clear selection
Child's school. (If your child is homeschooled for the first time this school year, please also list the school last attended.)
Your answer
Child's Current Grade
2nd
3rd
4th
5th
Clear selection
My child is significantly behind in reading.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Clear selection
I would like my child to participate in this program because:
Your answer
Preferred Meeting Time(s) for Book Buddy online meetings (Check all that would work for you.)
Mondays at 6 pm
Tuesdays at 10 am
Tuesdays at 3 pm
Wednesdays at 3 pm
Thursdays at 6 pm
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
