Project Literacy
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Children’s Summer Reading Program Application Form 2026

"*" indicates required fields

Child's Information

Child's Name*
MM slash DD slash YYYY
Gender*
Grade going into September 2026*

Parent/Guardian Information

Parent/Guardian #1 Name*
Parent/Guardian #1 Address*
Parent/Guardian #2 Name
Parent/Guardian #2 Address

Medical Information

If required, does your child have an EpiPen?
Daytime Emergency Contact Name*

Important Consent Forms

Attendance*
– Students must be available to attend all eight lessons in the program to be eligible to register.

– To help ensure the health and safety of everyone participating in the program, it is advised that students stay home if they are feeling sick. If they fall ill during the program, the parent/guardian will be contacted to pick up the student.

– We encourage families to drop off students no later than 9:30am and pick them up promptly by 12:30pm.
Child Supplies*
Please make sure your child brings the following to EACH class:

– Snacks

– Water bottle

– A change of clothing

– Sunscreen and hat

– a backpack (to carry and store books/materials)
Code of Conduct*
– Out of respect for all the participants in the program, the use of cellphones/electronics is not allowed during class.

– The safety and well-being of each individual is very important to Project Literacy. I hereby agree that any behaviour of the student that places himself/herself or others at risk may result in the student’s immediate dismissal from the program.
This field is for validation purposes and should be left unchanged.

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How To Find Us

107 – 2293 Leckie Road
Kelowna, BC V1X 6Y5
(250) 762-2163

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