M.I.M.S. Elementary Reading Literacy – Interest List 📚✨

M.I.M.S. Elementary Reading Literacy – Interest List 📚✨

Complete this form to receive updates and registration info for the summer program.
Parent/Guardian Information
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Preferred Contact Method
Student Information
How many children are you registering?
Child #1
Child’s Full Name
What grade will your child be entering?
Child #2
Child’s Full Name
What grade will your child be entering?
Child #3
Child’s Full Name
What grade will your child be entering?
Program Interest
Student Support Needs
Does your child need any additional support?
Program Availability
Which small group age track are you signing up for?
Which scheduled sessions will your child be able to attend?
Stay Connected
Would you like to receive updates about other programs from Birthday Boxes for Good, Inc.?
Please select all dates your child is available to attend.
Should be Empty: