843-331-8526
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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 2025-2026, Grades K-5

For Registration questions please contact: Melissa Seek at 843-331-8526 or melissa@freedomreaders.org

Please fill out the following form completely. Required items are indicated with an asterisk(*).

"*" indicates required fields

Comments

This field is for validation purposes and should be left unchanged.

Session & Site Information

SUMMER 2026 SESSION

WEEK OF JUNE 8th through WEEK OF JULY 20th

Please select "Virtual" or your county to see site options:*

VIRTUAL*

The Reading Lab (Virtual sessions scheduled with scholars)

HORRY COUNTY*

MIO Center - Conway, SC (Wednesdays 3:00-4:30pm)

Waterford Pointe Apartments - Myrtle Beach, SC (Tuesdays 3:30 - 5:00pm)

Student Information

Child's Name*

First Last

Date of Birth*

Month

Day

Year

Gender

Ethnicity

Child's Age

Grade*

Home Address*

Street Address Address Line 2 City State ZIP Code

Name of Child's Elementary School*

Child's Current School Teacher*

Parent/Guardian Information

Name*

First Last

Daytime Phone*

Mobile Phone*

Email Address*

Would you like to become a volunteer?

Yes, please let me know how I can help.

No, 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.

Full Name of Emergency Contact #1*

First Last

Emergency Contact #1 Relationship to Child*

Emergency Contact #1 Phone Number*

Emergency Contact #1 Home Address*

Street Address Address Line 2 City State ZIP Code

Full Name of Emergency Contact #2

First Last

Emergency Contact #2 Relationship to Child

Emergency Contact #2 Phone Number

Emergency Contact #2 Home Address

Street Address Address Line 2 City State ZIP Code

More about your child

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

Yes

No

If yes, please list them:

Is your scholar receiving any additional resources from their schools? (Check all that apply.)

Reading intervention

ESL

Speech therapy

Occupational therapy

RBHS services

Would you like to receive information regarding additional resources for testing?

Yes

No

What does your scholar like to read about or what are some of their interests?

RECAPTCHA

To see the submit button, please enter "read" in the field below.*

Events

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Blog

June 6, 2025
Announcing Academic Year 25 – 26 Program Dates!
February 17, 2025
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January 23, 2025
Celebrate Black History Month 2025 with Freedom Readers National Team

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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