Literacy Tutoring Registration Form

Please fill out the form below to register for our One-On-One Literacy Tutoring.

Parent/Guardian's First & Last Name *

Child's First & Last Name *

Child's Age *

Grade completed *

Email Address

Phone

Reading Difficulties

Student has a specific reading disorderStudent is reading below his/her grade levelStudent is reading at the low end of his/her present grade level

Any other comments you would like to make

Best time when you can be contacted

My child is already committed on the following dates:

What days and times of the week is our child available for appointments (Click all that apply) *

Tuesday MorningsTuesday AfternoonsTuesday EveningsWednesday MorningsWednesday AfternoonsThursday MorningsThursday AfternoonsFriday MorningsFriday Afternoons

75 George Street (map your route)
2nd Floor (Wheelchair Accessible)
Lanark Village, ON
K0G 1K0

Phone: (613) 259-3068
Email: general@lanarklibrary.ca

Hours:

Tuesday: 10:00 am – 7:00 pm
Wednesday: 1:00 – 4:00 pm
Thursday: 10:00 am – 1:00 pm
Friday: 1:00 – 6:00 pm
Saturday: 10:00 am – 1:00 pm

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