• Program Application for Reading Rocks FALL 2026

  • Welcome!
    We're so glad you're interested in our programs. Our goal is to provide safe, supportive, and meaningful learning opportunities for children and youth with diagnosed or suspected learning disabilities (LDs) and ADHD.

    Please Note:
    Our programs are specifically designed for participants with a suspected or diagnosed LD and/or ADHD and are not currently structured for individuals requiring significant behavioural support or those with a primary intellectual disability diagnosis. While other exceptionalities, such as Autism or Mild Intellectual Disability, can also affect learning, a learning disability is a distinct diagnosis.

    To learn more about what qualifies as a learning disability, please visit: https://www.ldao.ca/introduction-to-ldsadhd/what-are-lds/ 

  • Program Details

    To make Reading Rocks more accessible and support more families, we have expanded the program to include multiple in-person locations and virtual program options.

    Please note that acceptance is contingent on application review, program fit, available space, and volunteer capacity.

    [Tentative] In-Person Locations:

    John Galt PS  [In-Person Location A]

    Rickson Ridge PS  [In-Person Location B]

    Duration:

    September 28 - December 4

    6:30pm-7:30pm

    M/W - In-Person A
    M/W - Online A

    M/W - In-Person B
    M/W - Online B


    T/Th - In-Person A
    T/Th - Online A

    T/Th - In-Person B

    T/Th - Online B

    **This year we will have options to participate completely online or completely in person (switching formats mid-program won’t be possible). 

    Our main correspondence is via email; please ensure you provide the most current email address at all times.

    PLEASE NOTE: Acceptance into the program is NOT first come/first served. We take great care to review each application to make sure our program is the right fit for your child. 

     

    To apply for this LDAWC program, please fully complete the form below (even if you've provided this information in a prevous application).

    This information will be kept strictly confidential. It will only be shared with our staff and program facilitators/volunteers.

  • Rows

  • * required

  • Please indicate your relation to the child:*

  •  -
  • Person(s) responsible for drop-off and pick-up*

  • Are you able to commit to bringing your child to every weekly scheduled program for the duration of our fall season?*
  • Please check:*

  • Student Information

  • Does your child have a formal learning disability diagnosis? [please note if they don't that it does not exclude them from the program]*
  • Is your child diagnosed with other exceptionalities? This includes autism, intellectual disabilities, down syndrome, etc.*
  • Has your child been referred to this program by their school? *
  • Is your child currently on an IEP?*
  • Student's Current School Placement*
  • Has your child participated in the Reading Rocks Program before?*

  • Academic Level

    Please provide your child's approximate academic level in the areas below. If you are unsure, you may refer to a recent report card, IEP, or ask your child's teacher.

  • Behavioural-Related Question

    Please provide as much detailed information as possible to assist with screening.
  • Does your child have difficulty working with others?*
  • Does your child have difficulty following verbal directions well?*
  • Does your child display physical aggression?*
  • Does your child display verbal aggression?*
  • Does your child have a tendency to flee?*

  • Student Profile

    Please provide as much detail as possible to help us determine program fit and make the best volunteer match for your child.

  • Waivers and Conditions of Enrollment in Reading Rocks Program:

  • 1. The parent or guardian of the above-named participant, releases the LDAWC, its directors, staff, agents and members from any loss, personal injury, accident, misfortune or damage to the above-named or his/her property, with the understanding that reasonable precautions shall be taken to ensure the health and safety of the above-named participant.

    2. For the program to be effective and out of respect for tutors we ask families to commit to attending each session of the program they register for. If you will be unable to attend a session, you must inform tutor and program facilitator with as much notice as possible.

    3. For the safety of the staff and other participants, LDAWC has the right and responsibility to take actions such as phone calls home and possible dismissal from program if a child exhibits continual inappropriate behaviour.

    4. I understand that if my child’s mentor withdraws from the program, my child may be placed with an alternate tutor if one is available.

     

    By signing below, I agree that:

    I have read and hereby accept the above waivers and conditions of enrollment and give the LDAWC permission to share my child’s information with the appropriate staff and program volunteers.

    I agree to the terms and conditions of the LDAWC program I am applying for and I attest to the accuracy of the information included in this application form, and that I am submitting this form securely via Jotform and agree to Jotform terms and conditions.

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