843-331-8526
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Register Your Scholar
Contact Us
Donate
843-331-8526

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Register Your Scholar

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*

Spring 2025 Session

Summer 2025 Session

Please check each session your child will be attending.

Site Location (**Does not meet in Summer Session)*

The Reading Lab (Virtual sessions scheduled with scholars)

Bay Pointe Apartments (Wednesdays 3:30-5:00pm)

Chesterfield Missionary Baptist Church (Thursdays 2:45-4:30pm)

Friendship Place (Thursdays 2:45-4:15 pm)

MIO Center (Wednesdays 3:30-5:00pm)

Myrtle Beach Primary** (Mondays 2:30-4:00pm)

Piney Grove Baptist Church (Tuesdays 4:00-5:30pm)

Plantersville Elementary School Book Club** (Thursdays 2:30-4:00pm)

Southern Georgetown Community Library** (Thursdays 2:45-4:30pm)

Waccamaw Library (Thursdays 2:45-4:10pm)

Waterford Pointe (Tuesdays 3:30 - 5pm)

YMCA Book Club** (Tuesdays 4:15-5:15pm)

Student Information

Child's Name*

First Last

Date of Birth*

Month

Day

Year

Gender

Ethnicity

Grade*

Home Address*

Street Address Address Line 2 City State ZIP Code

Name of Child's Elementary School*

Name of Child's School Teacher's for 2024-2025 School Year*

Parent/Guardian Information

Name*

First Last

Daytime Phone*

Mobile Phone*

Email Address*

Would you like to become a volunteer?

Yes, please let me know how I can help.

No, I am not interested at this time.

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*

First Last

Emergency Contact #1 Relationship to Child*

Emergency Contact #1 Phone Number*

Emergency Contact #1 Home Address*

Street Address Address Line 2 City State ZIP Code

Full Name of Emergency Contact #2

First Last

Emergency Contact #2 Relationship to Child

Emergency Contact #2 Phone Number

Emergency Contact #2 Home Address

Street Address Address Line 2 City State ZIP Code

More about your child

Does your child have allergies or any other medical condition?*

Yes

No

If yes, please list them:

Is your scholar receiving any additional resources from their schools (ex: reading intervention, ESL, speech therapy)? If so please list them:

Does your scholar like to read and how often do they read outside of school?

What does your scholar like to read about or what are some of their interests?

RECAPTCHA

To see the submit button, please enter "read" in the field below.*

Comments

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Your involvement makes the difference.

Are you interested in sharing some time each week to make a big difference in the life of a child?

“Today a reader, tomorrow a leader.” Margaret Fuller

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