Reading Buddies - Kids Application Form Reading Buddies application form for kids. "*" indicates required fields Child's InformationName* First Last Gender*FemaleMaleOther/Prefer not to sayWhat school does your child attend?*Grade*1234What languages does your child speak?Is this child in an Individual Education Program (IEP)?* Yes No Can we contact their Resource Teacher for input? Yes No Resource Teacher's Name First Last Resource Teacher's Email Parent/Guardian InformationName* First Last Email* Cell or Home Phone*Work PhoneAddress* Street Address City ZIP / Postal Code Fall 2025 Reading Buddies session will only take place at the Poirier branch. Please check the box to confirm your selection.* Wednesday's at Poirier Consent*Spaces for the Reading Buddies program are limited. Eligible children will be selected on a first come, first serve basis. Failure to attend one session (without prior notification) will be met with a warning. If the child is absent from a second session, his or her spot will be given to someone on the waiting list. I agreeNameThis field is for validation purposes and should be left unchanged.
