843-331-8526
Register Your Scholar
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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 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 *
Spring 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 3:00-5:00 pm)Georgetown Housing Authority Knights for Knowledge (Wednesdays 2:45-4:15pm)MIO Center (Wednesdays 3:30-5:00pm)Myrtle Beach Primary School (Mondays 2:30-4:00pm)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)

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.

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.

Emergency Contact #1: Required

Full Name of Emergency Contact *
Emergency Contact Relationship to Child *
Emergency Contact Phone Number *
Emergency Contact Home Address *

Emergency Contact #2: Optional

Full Name of Emergency Contact
Emergency Contact Relationship to Child
Emergency Contact Phone Number
Emergency Contact 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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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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