Reading Clinic Registration Form
Name of Student:
Date:
Name of Class:
Date(s) of Class(es):
Time:
Grade of Student:
A minimum $25 (USD) deposit is required for registration to be complete.
Please contact us for method of payment (801) 466-4214.
All fees are to be paid in advance of the first class.
Has a student or family member in your same household attended our classes before?
Yes
No
Name of Parents:
E-Mail Address:
Address:
City:
State or Country:
Zip:
Home Phone:
Office Phone:
Register through the Reid Foundation. All classes are held at the Reid School, 2965 East 3435 South, Salt Lake City, Utah. Call 486-5083 or 466-4214 for further information. There are no refunds for missed classes.