Reading Ranch

Parent Name*
First Last
Email*
Phone*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Children's Names*
Children's Ages*
Rising grade level(ie grade in Fall 21)*
Your child's DRA or Guided Reading level and/or book level.

Please provide any information regarding your child's reading/writing levels.
Location*
- Allen
- Argyle
- Castle Hills/Lewisville/Carrollton
- Coppell
- Denison/Texoma
- Frisco
- Mckinney
- Dallas (Grace Academy - Inwood Rd)
- North Richland Hills
- Plano
- Southlake
- VLP(virtual/online)
Class Choice*
Hold CNTRL + click for multiple entries

Preferred Days and Times
NOTE: We will do our best to provide you the preferred times and days. However, we reserve the right to cancel and/or reschedule your preferred times. If we cannot provide you times and days that are acceptable to you, we will refund your registration fees.
You may select multiple times (hold CNTR Click)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Preferred Days and Times
NOTE: We will do our best to provide you the preferred times and days. However, we reserve the right to cancel and/or reschedule your preferred times. If we cannot provide you times and days that are acceptable to you, we will refund your registration fees.
You may select multiple times (hold CNTR Click)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Preferred Days and times
NOTE: We will do our best to provide you the preferred times and days. However, we reserve the right to cancel and/or reschedule your preferred times. If we cannot provide you times and days that are acceptable to you, we will refund your registration fees.
You may select multiple times (hold CNTR Click)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Preferred Days and times
NOTE: We will do our best to provide you the preferred times and days. However, we reserve the right to cancel and/or reschedule your preferred times. If we cannot provide you times and days that are acceptable to you, we will refund your registration fees.
You may select multiple times (hold CNTR Click)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Preferred Days and times
NOTE: We will do our best to provide you the preferred times and days. However, we reserve the right to cancel and/or reschedule your preferred times. If we cannot provide you times and days that are acceptable to you, we will refund your registration fees.
You may select multiple times (hold CNTR Click)
Monday
Wednesday

Preferred Days and times
NOTE: We will do our best to provide you the preferred times and days. However, we reserve the right to cancel and/or reschedule your preferred times. If we cannot provide you times and days that are acceptable to you, we will refund your registration fees.
You may select multiple times (hold CNTR Click)
Monday
Tuesday
Wednesday
Thursday
Saturday
Sunday

Registration Fees
One Time Registration Fees Due Now*
- 1 Student $50
- 2 or more Students(siblings only) $75
You will be billed later for the remainder of the tuition on a separate invoice.
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Reading Ranch Policies*
- I have read, and agree to the Reading Ranch Policies
How did you hear about us?
Referral Name
Additional Questions

Form Development