Literacy Gang Sign Up Form – Clever Communities in Action

Dear Parent/Guardian:

Clever Communities in Action is pleased that you are applying for your middle schooler to join our Literacy Gang Book Club Camp. As a member, your scholar will receive a Literacy Gang t-shirt, a copy of the book Victory Stand and more.

In addition, your child will be in a nurturing environment that encourages her or him to read, learn, grow, and make new friends. Your child will have the opportunity to strengthen and enrich their literacy skills in a supportive environment with highly qualified instructors.

The two- week summer camp will meet Monday - Thursday, July 8th -11th and July 15th - 18th at 6:00pm – 8:00pm.

Application deadline: June 2, 2024

Program fee is $65. Scholarships are available. Please contact Starr@clevercommunities.org with any questions.

Payment may be submitted via:

Paypal: donations@clevercommunities.org

CashApp: $CleverCommunities

We look forward to meeting your Scholar!

Parent Account Details

Parent Name *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Student Details

Name *

First

Last

Date of Birth *

School *

Grade *

T-Shirt size *

Gender

Female
Male

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What would you like to gain from joining the Literacy Gang Book Club?

Parent/Guardian, what would you like for your child to gain from the Literacy Gang Book Club?