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Little Buddies Application - Reading Buddies Program

Thank you for your interest in the Reading Buddies program at Lafayette Public Library.

 

Apply soon!  Kids are assigned a Big Buddy on a first-come, first-served basis, with priority given to Lafayette residents and students who attend Lafayette schools.

 

Please be sure to read the Information for Parents/Guardians of Little Buddies before registering your child. 

 

 

 

 

 
* Child's name 
* Male or Female? 
* Address 
* City 
* State 
* Zip 
* Age 
* School (fall 2012) 
* Grade (fall 2012) 1st grade 2nd grade 3rd grade 
* Parent/guardian's Name 
* Has your child participated in Reading Buddies through the Lafayette Public Library before? 
Are any languages besides English spoken in your home? If yes, please indicate. (We often have Big Buddies who speak Spanish and occasionally have Big Buddies who speak other languages like Japanese or French.)  
* In which language(s) would you like your child to read with his/her Big Buddy? (subject to availability)
 
* Would you prefer your child to have a Big Buddy who is a  
* Please select a session:
 
Please indicate any dates when your child will not be available during the session(s) you signed up for. If your child will miss three or more meetings, please consider applying to participate in a future term instead. 
* I would like my child to have a Big Buddy because: 
Email Address 
* Parent/Guardian's Home Phone  
* Daytime phone number where parent/guardian can be reached in case of emergency 
* My child's interests are: 
* My child's reading level is:
 
* In general, my child is:
 
* In general, my child:
 
* In general, how does your child feel about school?
 
* How does your child feel about joining Reading Buddies?
 
* Photo Release Statement: Please read the following statement and let us know if you authorize us to use pictures of your child in Reading Buddies publicity materials. "I give the Lafayette Public Library permission to publish in print or electronic or video format the likeness or image of my child; I release all claims against the Library with respect to copyright ownership and publication including any claim for compensation related to the use of the materials."
 
Would you like to order a Reading Buddies t-shirt for your child? Bring $10 (cash or check made out to "City of Lafayette" with "Reading Buddies" in the subject line) at our first meeting. (You can also drop by and purchase a t-shirt ahead of time.) Indicate size if you plan to purchase a shirt:
 
What else would you like us to know about your child? 
 

By submitting this Reading Buddies application, I agree that

  • I have read the Reading Buddies Information for Parents online or in the printed brochure. 
  • I am aware of the dates and requirements of the program, and I will notify the coordinator and my child's Big Buddy as soon as possible if my child will be absent from a meeting.
  • I agree to help my child participate fully in the program, to the best of my ability, including making sure that he/she arrives on time at the beginning of the session.
 
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