Help for My Child

Get Help for Your Child

Complete this form to get help for your child. ReadStrong Pinellas can guide you to resources, screenings, and services to assist your child in reading and other areas.

How did you hear about ReadStrong?*
Where was the event located you attended?*
Child's Information
Child's Name:*
Date of Birth / Grade:*
Home Zip Code Zone:*
School Name:*
Parent / Guardian Information
Parent / Guardian Contact Name:*
Parent / Guardian Cell Phone:*
Parent / Guardian Home Phone:*
Parent / Guardian Email Address:*
Type of Help:
Please check box(es) below:*
- Reading
- Other Type of Help (Please Describe)
Please describe the help you're looking for.
Best Way to Contact (Email, Cell Phone):*
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Get Help for Your Child

Child's Information

Parent / Guardian Information

Type of Help: