Scholar Registration for Academic Year 2025, Grades K-5

For Registration questions please contact: Melissa Seek at 843-331-8526 or info@freedomreaders.org


Please fill out the following form completely. Required items are indicated with an asterisk(*).

"*" indicates required fields

Session & Site Information

Session Info*
Please check each session your child will be attending.
Site Location*

Student Information

Child's Name*
Date of Birth*
Home Address*

Parent/Guardian Information

Name*
Would you like to become a volunteer?

Emergency Contact Information

In case of an emergency the listed parent or guardian will be contacted first. Please list one emergency contact other than the listed guardian in case they can not be reached.
Full Name of Emergency Contact #1*
Emergency Contact #1 Home Address*
Full Name of Emergency Contact #2
Emergency Contact #2 Home Address

More about your child

Does your child have allergies or any other medical condition?*
This field is for validation purposes and should be left unchanged.