Baby Raven Reads Enrollment
Baby Raven Reads is a program that promotes language development and kindergarten readiness for Alaska Native families with children up to 5 years old or who are not yet enrolled in kindergarten.

A separate form must be completed for each child enrolled in the program.

Responses on this form will be kept confidential and used only for program purposes.

Limited space available--completion of this form does not guarantee placement in the program.
This form is the first part of a two part enrollment process. In the second stage of enrollment, selected families will be contacted to complete an initial Reading Attitudes Survey.

http://www.sealaskaheritage.org/institute/education/programs

Child's last name *
Your answer
Child's first name *
Your answer
Child's age *
Your answer
Child's date of birth *
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/
DD
/
YYYY
Child's gender *
Estimated graduation date from Raven Reads program (date child will enter kindergarten) *
MM
/
DD
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YYYY
Mailing Address (PO box or street name and number) *
Your answer
City *
Zip Code *
Your answer
Primary contact's email address *
Your answer
Primary contact's last name (parent/guardian) *
Your answer
Primary contact's first name (parent/guardian) *
Your answer
Child's tribal affiliation *
Required
Voluntary information; Is your child enrolled in:
Is your child a current Baby Raven Reads participant?
Are you interested in being a parent helper in your community? *
Are you interested in being a community liaison in your community? *
Participation agreement *
Baby Raven Reads requires participation from those enrolled in the program for events and surveys.
I agree to participate in Baby Raven Reads:
Program events
Reading attitude surveys
Program feedback surveys
Kindergarten readiness assessments
Submit
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