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 2023-2024, 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 *
Fall 2023 SessionSpring 2024 SessionSummer 2024 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 2:45-4:30pm)Friendship Place (Thursdays 2:45-4:15 pm)Georgetown Housing Authority Knights for Knowledge (Wednesdays 2:45-4:15pm)MIO Center (Wednesdays 3:30-5:00pm)Piney Grove Baptist Church (Tuesdays 4:00-5:30pm)Plantersville Elementary School (Wednesdays 2:30-4:00pm)Southern Georgetown Community Library (Thursdays 2:45-4:30pm)Waccamaw Library (Thursdays 2:30-4:00pm)YMCA of Coastal Carolina Knights for Knowledge (Tuesdays 3:30-5:00pm)

Student Information

First name *
Last name *
Date of Birth *
Age *
Gender
Ethnicity
Grade *
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 *
Home Address *

More about your child

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

June 5, 2023
Dr. Bailey bids farewell, for now, to Freedom Readers
November 7, 2022
MIO Center Celebrates 10 Years!
August 30, 2022
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