Parent Name

Parent Email Address

Child's Name

Child's Simbi Username (if applicable)

Child's Grade Level

Child's Birth Date (ex: June, 2014)

City

How did your child perform on their most recent report card on English Language Arts / Reading? How did your child perform on their most recent report card on English Language Arts / Reading?A / 4 OutstandingB / 3 GoodC / 2 AverageD / 1 Needs ImprovementF / 0 FailingNot Applicable

Which statement best describes your child? Which statement best describes your child?My child loves reading, and often reads in their spare time.My child enjoys reading, and sometimes chooses reads in their spare time.My child neither likes nor dislikes reading. It is not something they actively avoid or seek out.My child sometimes avoids reading. They are are reluctant reader.My child avoids reading. It is not an activity they enjoy.None of the above.

Are there specific goals or learning needs that your Simbi Reading Coach should be aware of?

Please select all drop-in classes you'd like to sign up for (if any). Please select all drop-in classes you'd like to sign up for (if any). Reading Fluency & Comprehension Skills Class (Grades 2-3) Reading Fluency & Comprehension Skills Class (Grades 4-5)