Reading Rocks! Registration From
Please fill out this form in it's entirety. We will be send you a confirmation email in 1-2 days. If you have any questions, please use the last question to ask and we will answer them in our reply email. 1 form per child
Email address *
Child's Name *
Child's Age *
Child's Grade (current or entering grade)
Parent's Name(s) *
Parent's Phone *
Parent's Email *
Emergency Contact Name *
Emergency Contact Phone *
What subject areas does your child need tutoring? *
Required
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