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Amanda ScaramozzinoLaurier Students for Literacy Co-ordinatorOffice Phone: 519-756-8228, Ext.5913lsflbrantford@wlusu.com
LSFL Book Buddy Registration Form
The Book Buddy program is a free program run by Laurier Student’sfor Literacy. We offer one-on-one tutoring for 45 minutes a week. All thevolunteers are eager to support and build confidence in your child’s readingand writing skills through literacy activities and worksheets. This programis available to students in grades 1 to 6. If you are interested in thisprogram, registration starts on
Wednesday, November 18th, 2009
andthe deadline is
Friday, December 18
th
, 2009
. Registration forms areavailable at the Brantford Public Library.
Areas for Improvement in Written Work
(Please put a check markbeside the ones that pertain to your child)
:
Sentence StructureCreative WritingSummarizing MaterialsSpellingOrganizing IdeasGrammar/PunctuationStory Sequencing ProofreadingVocabularyDevelopmentPhonicsJournal Writing Written ResponseComments:
Areas for Improvement in Oral Reading:
ComprehensionRetelling the StoryReading withExpressionPronunciationFluencyMaking ConnectionsPredictions Word RecognitionDecodingInferencesComments:
Amanda ScaramozzinoLaurier Students for Literacy Co-ordinatorOffice Phone: 519-756-8228, Ext.5913lsflbrantford@wlusu.com
Learning Disabilities:
(Please list any learning disabilities below)
Availability:
Please indicate the times that work best for you and your family bynumbering your choices from 1-5, 1 being your top choice.
TimeMondayTuesdayWednesday Thursday4:005:006:007:00
Thank you! You can expect to be contacted by yourchild’s buddy within the next few weeks!
Reminder: The deadline for the Book Buddy Sign-Up is
Friday, December18
th
, 2009.
Please drop off the forms at the Brantford Public Library. If you have any questions or concerns please feel free to contact AmandaScaramozzino LSFL Co-ordinator or Sue Matthews Book Buddy Executive at519-756-8228, ext. 5913 or e-mail us atlsflbrantford@wlusu.com.
Amanda ScaramozzinoLaurier Students for Literacy Co-ordinatorOffice Phone: 519-756-8228, Ext.5913lsflbrantford@wlusu.com
Child’s Information
Parent/Guardian Name:Gender:Child’s Name:Age:Phone Number:Grade:Home Address:Reading Level:E-mail Address:
Emergency Contact:
We will contact this person only in the event of an emergency, or if thechild’s parent/guardian is not available.Name of Emergency Contact Person:Relation to Child:Phone Number:
How will your child get to and from the library eachweek?
1.Walk with parent or guardian2.Drive with parent or guardian3.Bus with parent or guardian4.Other (please specify)
Medical Information
Please list any allergies and/or medical information (ex. Diabetes, hearingproblems, vision impairment, peanut allergy, etc.) and medicine orintervention required.I authorize that the above information about isup to date and correct.
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