Reading Report

Reading Report

for Elks Camp Grassick
To be completed if this child could benefit from reading intervention while at camp.

Please note: Although most children would benefit from some type of reading instruction while at Camp Grassick, only so many are selected to receive individual help in reading because of the number of instructors that we have available. Even if the child is not selected to receive individual reading instruction, they will still benefit from reading activities promoted within their cabin and cabin group.
Child's Name*

First NameLast Name
Birthdate*

MonthDayYear
Child's Diagnosis*
Type of Classroom*
Grade*
Present Reading Level (or BAS level)*
Name of Reading Instructor*
If permissible, please include the reading instructor's telephone number. If for any reason our reading personnel would have specific questions during the summer, they could contact the child's teacher.
Reading Teacher's Phone Number
Please enter a valid phone number.
Reading Teacher's Email
example@example.com
Does this child receive special reading instruction or reading intervention?*

YesNo
If so, how many times a week and for what length of time?
What is the present reading program or series being used with this child?*
Reading Interventions: Please check if the child needs support in any of these areas:*

Phonics/PhonemicsFluencyLetter or Word RecognitionComprehensionVocabularyOther
Please describe the child's reading abilities and what the child is working on to improve his or her skills.*
Please describe or give specific areas/skills you would like this child to work on over the summer if selected to receive individual reading instruction while at camp.*
Should be Empty: