Auburn University Summer
Reading Program
Mondays
and Wednesdays or Tuesdays and Thursdays
June
11-July 21 or June 12-July 22, 2008
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 2007-2008:
__________________________________________________________
Grade 2007-2008: ______________________________________________ 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 2008
Monday-Wednesday Program (Grade K-2)
|
Sunday |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
|
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 2008
|
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 |
26 |
June 2008
Tuesday-Thursday Program (Gr. 2-6 struggling readers)
|
Sunday |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
|
8 |
9 |
10 |
11 |
12 CLASS |
13 |
14 |
|
15 |
16 |
17 CLASS |
18 |
19 CLASS |
20 |
21 |
|
22 |
23 |
24 CLASS |
25 |
26 CLASS |
27 |
28 |
|
29 |
30 |
|
|
|
|
|
July 2008
|
Sunday |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
|
|
|
1 CLASS |
2 |
3 CLASS |
4 |
5 |
|
6 |
7 |
8 CLASS |
9 |
10 CLASS |
11 |
12 |
|
13 |
14 |
15 CLASS |
16 |
17 CLASS |
18 |
19 |
|
20 |
21 |
22 CLASS |
23 |
24 |
25 |
26 |
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 $70.00, 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