Summer Reading Program Registration

Name of parent/guardian:

Child's name:

Child's age:

Child's date of birth:

Child's T-shirt size:

Grade child will be entering in September 2022:

Child's ethnicity:

(Native American, Asian, Black/African American, Hispanic/Latino, Native Hawaiian/Pacific Islander, white, mixed)

Street Address:

City, state and ZIP code:

Best email address:

Best phone number and person's relationship to child:

Reason for application:

Tell us about your child's reading ability and needs.

Does this child have a sibling in this year's program?

Yes
No

If you answered "yes" to the previous question, what is the sibling's name?

Preferred meeting time

The program runs every Monday and Wednesday for seven weeks, from July 11 to Aug. 17. Two time slots are available

Session I: 9-10:30 a.m.
Session II: 11 a.m.-12:30 p.m.

Please indicate your preferred session below.

Preferred session:

Session I: 9-10:30 a.m. Mondays and Wednesdays
Session II: 11 a.m.-12:30 p.m. Mondays and Wednesdays

If your preferred session is not available, is your child able to attend the other session?

Yes
No

Please note: We will do our best to accommodate your choice of sessions, but we need to fill slots according to program needs, so the better your availability, the better the opportunity to be accepted.

Virtual vs in-person sessions

While students in the program will meet virtually (from the Walsh/Southern Tier Catholic School campus) with their literacy specialists, a very limited number of in-person sessions may be available.

If an in-person session is available, do you prefer that for your child?

Yes
No

If you answered "yes" to the previous question but no in-person session is available, do you still want your child to participate in the program?

Yes
No

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Please note that after submitting the form you will be sent to an acknowledgement page. Please be patient as this may take a few seconds. If you have any concerns about your submitted form, contact Reading Center Director Sheri Voss by email (top of this page).

St. Bonaventure University

2022 Summer Reading Program application

Preferred meeting time

Virtual vs in-person sessions