logo   Auburn University 2009 Summer Reading Program

Mondays and Wednesdays or Tuesdays and Thursdays
June 10-July 22 or June 11-July 21, 2009

 

Child's name: ________________________________________________________________________

Age: ________  Date of birth: ______________________________________    Sex:    Male    Female

Parents or caretakers: _________________________________________________________________

Address: _________________________________________ E-mail ____________________________

City:  ___________________________    State:  _____________________  Zip: __________________

Telephone     Home:  __________________  Work: __________________    Cell: ________________

Emergency contact: ___________________________________________________________________

Telephone: _____________________________ Relation: ____________________________________

School and teacher 2008-2009: __________________________________________________________

Grade 2008-2009: ______________________________________________   Promoted:    Yes    No

Any special conditions (medical conditions, handicaps, allergies)?    Yes    No

If yes, describe:    ______________________________________________________________________

Has child been Summer Reading before?  If so, when? _____________________________________

Does child have trouble seeing?    Yes    No    Does child wear glasses/contact lenses?    Yes    No

Does child have trouble hearing?    Yes    No          Does child use a hearing aid?    Yes    No

Does child enjoy reading? _____________________________________________________________

Problems with reading that you have noticed: ____________________________________________

_____________________________________________________________________________________

Topics child might like to read about: ___________________________________________________

Most tutoring will take place in 45-minute sessions between 8:00 and 8:45 twice a week.  The tutor will contact you about the specific lesson time.    Usual days for tutoring:

       ____ Mondays & Wednesdays          ____ Tuesdays & Thursdays

               (Grades K-2)                                     (Grades 2-6 struggling readers)

We will arrange parking in the Stadium Parking Deck for the duration of the program. Parents will deliver children in the Summer Reading Program by foot or shuttle bus to the west entrance to Haley Center on Duncan Drive and meet them there 45 minutes later. Tutoring will take place in 2423 HC.

Driver(s) who will deliver and pick up my child for tutoring: ______________________________

Car make and license: _________________________________________________________________

Person to contact if child has no ride: __________________________ Phone: __________________

Please complete both pages of this form.

Please mark class days on the calendar your child could attend tutoring at the Summer Reading Program. (Priority will be given to children who can attend the entire 12-session program.)

June 2009                                           Monday-Wednesday Program (Grade K-2)

Sunday
 Monday
 Tuesday
 Wednesday
 Thursday
 Friday
 Saturday
7
 8
 9
 10 CLASS
 11
 12
 13
14
 15 CLASS 16
 17 CLASS 18
 19
 20
21
 22 CLASS 23
 24 CLASS 25
 26
 27
28
 29 CLASS 30



July 2009

Sunday Monday Tuesday Wednesday Thursday Friday Saturday



1 CLASS 2
 3
 4
5
 6 Holiday
 7
 8 CLASS 9
 10
 11
12
 13 CLASS 14
 15 CLASS 16
 17
 18
19
 20 CLASS 21
 22 CLASS 23
 24
 25

June 2009                                 Tuesday-Thursday Program (Gr. 2-6 struggling readers)

Sunday Monday Tuesday Wednesday Thursday Friday Saturday
7
 8
 9
 10
 11 CLASS 12
 13
14
 15
 16 CLASS 17
 18 CLASS 19
 20
21
 22
 23 CLASS 24
 25 CLASS 26
 27
28
 29
 30 CLASS



July 2009

Sunday Monday Tuesday Wednesday Thursday Friday Saturday



1
 2 CLASS 3
 4
5
 6
 7 CLASS 8
 9 CLASS 10
 11
12
 13
 14 CLASS 15
 16 CLASS 17
 18
19
 20
 21 CLASS 22
 23
 24
 25

Hold Harmless Agreement (required)

I, the undersigned parent/legal guardian of _________________________________ acknowledge that accidental injury can result from participation in the Auburn University Summer Reading Program activities.  I, therefore, assume all risk, loss, or damage of property arising out of the participation in this program.  I release Auburn University, its Board of Trustees, faculty, and staff from all liabilities from any right of action that may accrue either to my child or myself, heirs or representatives, for any such injuries, errors or omissions that I or my child may suffer while participating in this program.

 

________________________________________________     _______________________________

Signature of parent/guardian                                                        Date

If you wish to enroll more than one child, or if you have a friend who is interested in our program, please copy this form and return one form for each child you wish to register.  You will be notified about acceptance by early June. If your child is accepted, the fee for the entire program is $80.00, payable at that time, and includes parking in the Stadium Parking Deck during the program.  Checks should be made payable to Auburn University.  Applications should be sent to:

Dr. Bruce Murray, Summer Reading Program
5040 Haley Center, Auburn University AL 36849

For links and lessons about learning to read, and pictures from the Summer Reading Program, visit the Reading Genie website: http://www.auburn.edu/rdggenie