Schedule a Free Reading Assessment

Child's Information
Child's Name *

First Name Last Name
Child's Birth Date *

Month Day Year
Child's Age *
Current Grade *
Child attends: *

Public School Charter School Private School Homeschool Unschooling Approach Other

What is your preferred time for an assessment? *

Morning Early afternoon After school Other
What is your time zone? *

Central Time Eastern Time Pacific Time Mountain Time Other

What is your biggest concern for your child? *
Please share any additional information below that you'd like me to know about your child.
Thank you...

Thank you for submitting this form for your child's free reading assessment.

Upon submission of this form, you'll be directed to Calendly to select an assessment time from my available openings.

You may also reach out to me directly for assistance in scheduling your free reading assessment.

I look forward to connecting with you and your child!

Robin Carbajal
972-654-7323
Robin@ReadingRemedies.net
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Parent Contact Information