Parent / Guardian First and last name (required)

Contact Email (required)

Contact Phone Number (required)

WAIT LIST Child Readers:

How Many Child Readers? (required)
123>

Name of Reader 1 First and last name (required)

Name of Reader 2 First and last name

Name of Reader 3 First and last name

Please select two dates below. If more are selected you will only be entered for the first two with available space. You may not attend more than two classes in a six-month period. (required)
10/9/2111/13/2112/11/21