Student Enrollment

Student information .

We're excited to have your child join us on their journey to enhance their reading and writing skills. Before we begin, please take a moment to fill out this student intake form. Your responses will help us tailor our support to meet your child's individual needs and goals.

    Child's Name

    Date of Birth

    Address

    School

    Grade

    Parent(s) Name(s)

     

    Phone Number(s)

     

    Email Address(es)

     

    What are your child's strengths?

    Is your child receiving extra support at school?

    What does your child enjoy doing in their spare time?

    What are you most concerned about with respect to your child's literacy?

    Do you have any questions for me?