Refer a Child

Know a child that would benefit from the Read On! program?

Please copy this form and e-mail your responses to readon.info@gmail.com

1. Your name:
2. Best telephone number:
3. Child's name:
4. Relationship to child:
5. Child's age & grade: 
6. Does the child like to read?:
7. Child's interests?:
8. Child's favorite movie(s) & television show(s)?: 
9. *Does the child have a learning disability? (if yes, please specify):
10.  How did you hear about Read On!?: 

E-mail us!

While Read On! does not discriminate against anybody, our primary concern is with children whose likelihood to become an illiterate adult is the greatest -- please consider this when referring a child.

*This is imperative information. Sometimes children with learning disabilities require specialized reading materials. Read On! utilizes every asset to ensure your referred child receives reading level appropriate material. If you would like more information on learning disabilities and/or programs for students with a learning disability in your area, please let us know and we can help you out.