Unite_Growing-Readers_blue_Master
Registration
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FREE REGISTRATION / INSCRIPCIÓN GRATUITA
Adult or Caretaker / Adulto o Persona Responsable
First Name / Nombre
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Last Name / Apellido
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Child / Niño - a
First Name / Nombre
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Last Name
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Age
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10
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Grade
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Kindergarten
1st Grade
2nd Grade
3rd Grade
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Postal Address / Dirección Postal
Address Line 1 / Dirección Línea 1
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Address Line 2 / Dirección Línea 2
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City / Ciudad
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State / Estado
State / Estado
Alabama
Alaska
Arizona
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District of Columbia
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Texas
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Vermont
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Washington
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Zip Code / Código Postal
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Contact Information / Información de Contacto
Email / Correo Electrónico
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Phone / Teléfono
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Unite for Literacy is allowed to contact me at this email address
Unite for Literacy is allowed to contact me at this phone number
Digital Messaging / Mensajes digitales
I would like to receive text reminders from Unite for Literacy and their partners with helpful information about reading. / Me gustaría recibir recordatorios de texto de Unite for Literacy y sus socios con información útil sobre la lectura.
I would like to receive emails from Unite for Literacy and their partners with helpful information about reading. / Me gustaría recibir correos electrónicos de Unite for Literacy y sus socios con información útil sobre la lectura.
School / Escuela
What school does your child attend or plan to attend?
¿A qué escuela asiste tu hijo-a o planea asistir?
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Language Preference / Idioma de preferencia
Would you like to receive only English books, or some books in English and some books in Spanish?
¿Te gustaría recibir solo libros en inglés, o algunos libros en inglés y algunos libros en español?
Choose one / Elige una
English only / Solo inglés
English and Spanish / Inglés y español
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QUESTIONNAIRE
Question 1
How many books are there in your home?
¿Cuántos libros hay en tu casa?
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Question 2
How many days in a typical week do you or does someone else in your home read books with your child/children?
¿Cuántos días en una semana típica tú o alguien más en tu casa lee libros con tu hijo / hijos?
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0
1
2
3
4
5
6
7
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Question 3
What language is primarily spoken in the home?
¿Qué idioma es hablado principalmente en el hogar?
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