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

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Register Your Scholar

Scholar Registration for Academic Year 2022-2023, Grades K-5

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

Along with the form below, please download and sign our Permission & Release Form.

Signed forms may be returned during Session Meetings, or scanned and emailed to: info@freedomreaders.org.

They may also be printed and mailed to:
Freedom Readers
P.O. BOX 30548
Myrtle Beach, SC 29588

Please fill out the following form completely. Required items are marked with an asterisk*.

Session Info

Please check each session your child will be attending *
Spring 2023 SessionSummer 2023 Session
Select Session Location *
The Reading Lab (Virtual sessions scheduled with scholars)Bay Pointe Apartments (Wednesdays 3:30-5:00pm)Chesterfield Missionary Baptist Church (Thursdays 2:45-4:45pm)Friendship Place (Thursdays 2:45-4:30pm)MIO Center (Wednesdays 3:30-5:00pm)Piney Grove Baptist Church (Tuesdays 4:00-5:30pm)Plantersville Elementary School (Wednesdays 2:30-4:00pm)Socastee United Methodist Church (Thursdays 3:30-5:00)Southern Georgetown Library (Thursdays 2:45-4:30pm)YMCA First Baptist Church (Tuesdays 2:30-5:30pm)

Student Information

First name *
Last name *
Date of Birth *
Age *
Gender
Ethnicity
Grade *
Lexile Level *
Mailing Address *
City, State & Zip Code *
Name of elementary school *
School teacher's name for 2022-2023 school year *
T-Shirt Size

Parent/Guardian Information

Full Name *
Daytime Telephone *
Mobile Telephone *
Email Address *
Would you like to become a volunteer?
Yes, please let me know how I can helpNo, I am not interested at this time.

In Case of Emergency Contact Information

Full Name *
Relationship to student *
Telephone *

More about your child

Does your child have allergies or any other medical condition? *
YesNo
If yes, please list them:
What would you like us to know about your child?

Verification

Please enter any two digits *Example: 12
This box is for spam protection - please leave it blank:

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Tracy’s Thoughts

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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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