Ready, Set, Read! Registration

Please register for each child individually in the form.

Fields marked with an * are required.

Student Information
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Has your child attended the Loyola Clinical Centers for service(s) in the past?

Parent/Guardian Information
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Preferred Method of Communication:



Emergency Contact Other Than Parent(s)

Parents/guardians will be contacted first.

Allergy
Consent to Release
Columbia Schedule

4-7 years old/small group sessions 1.5 hr T-Th

Baltimore Schedule

4-7 year olds/small group sessions 1.5 hr T-Th

How did you hear about our Summer Reading Programs?