Deaf Kids Can! Summer Reading Registration

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This program is designed to support literacy and language development for children who live in Florida, have hearing loss, are ages birth through 15, and who are learning to listen and speak or whose primary communication mode is listening and spoken language. Siblings can participate as well to encourage a family-wide culture of reading.

Use this form to register for the program, which runs *JUNE 5 - AUGUST 5*.
(Si necesita el formulario en español, haga clic aquí: https://forms.gle/KtpGohqoMh7QqN4M6)

At the start of the program, you will receive an email with a summer reading BINGO card featuring fun, age appropriate reading challenges. For younger children, adults or siblings will read aloud or practice implementing the strategies for all of the challenges. Older children will be able to read on their own for most challenges, but being read to still offers tremendous benefits for all ages!

You can earn prizes by completing BINGOs on your card! Each time you complete a BINGOs - 5 challenges in a row, column, or diagonal on your card - you earn a new or gently used book in the mail! (Maximum one prize per child per week). You'll email TFisk@DeafKidsCan.org with a photo of your card to let us know that you've completed a BINGO! - We'd also love for you to share photos of completing challenges, but those are not required for entries.

At the end of the summer, we'll have Grand Prize drawings and you will get an entry for each BINGO you completed during the summer. (Max 8 entries per family).

Each week, parents will also receive an email with language and literacy tips, book recommendations, and resources for you and your children.

Please add TFisk@DeafKidsCan.org to your email contacts so emails come to your inbox. Emails frequently go to junk mail because they have resource links and attachments and go to many people at once. We don't want you to miss out on prizes!

First Name of Child with Hearing Loss *

Last Name of Child with Hearing Loss *

Age Of Child With Hearing Loss *

Names And Ages of Siblings Who Would Like To Participate (Up to age 15)

Name of Parent or Guardian *

Email Address of Parent or Guardian *

Phone Number of Parent or Guardian *

Complete Florida Mailing Address for Prizes (Including City and Zip Code - Autofill Leaves These Out) *

Approximate Reading and Language Level of the Child with Hearing Loss (This helps with choosing appropriate prizes. Please at least estimate above, below, or on level if the exact level is unknown). *

Book Topics and Interests of the Child with Hearing Loss (Help me pick books they'll enjoy!) *

Book Topics and Interests of Siblings Participating - Please put the name of the child with the interest. Sometimes it gets confusing with big families :)

What communication outcome are you pursuing for your child? (All children with hearing loss are welcome. The challenges and parent education are geared towards development of listening and spoken language skills. It is helpful to understand which communication path you are pursuing). *

Primarily Listening and Speaking (Listening and speaking with or without occasional signs)

Total Communication (Simultaneously listening, speaking, and signing)

ASL (Signing without the use of listening and speaking)

Cued Speech

Unsure

Other

How many children's books do you currently own? *

0-5

5-10

10-20

20+

Are there any particular areas where you feel that you need more support or parent education to be equipped to help your child or navigate this journey? I like to make sure the parent support is meeting your needs.

Is there anything else that is important to know about your child or family to help this summer reading program best support your family?

The books distributed through this free program are new and gently used donations chosen for my child from the available books. I understand that I (as parent or guardian) am responsible for screening any books for my children. While Deaf Kids Can does their best to send books well matched to my family, they cannot read every book donated or know the particular preferences of each family. If I have any concerns, I will communicate those to TFisk@DeafKidsCan.org.

I release Deaf Kids Can and its directors and volunteers from any liability resulting from my/my child's participation in this program.

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