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COVID-19 Update: University offices are open but being staffed remotely. Classes will be conducted remotely through the end of the spring semester and for all summer sessions.

School of Education

Photo from Monmouth University Literacy Center

Reading and Writing Clinic Registration

Registration Form

Cost: $100 per child
You will be required to pay the registration fee in total on the first day of class. Please bring a check for $100.00 made out to Monmouth University. You also can pay with any major credit card.

  • Student Name * Required
    Please enter the first, middle, and last name of your elementary student in the order requested.
  • Does your child go by a nickname? If so, please list.
  • Date Format: MM slash DD slash YYYY
  • Please list the full name of the school the student attends.
  • Please write in the full name of the school district that the student attends.
  • Please enter the name of legal guardian or parent.
  • Student's Legal Address * Required
    Please list the complete address with street, town add zip code
  • If your child is enrolled in the Reading/Writing Clinic, s/he is expected to attend every day that the Clinic is in session. Are there any days that he or she would not be able to attend? If so, please list below.
  • Student's Grade * Required
  • Permission to Contact Child's Teacher * Required
    If my child is enrolled in the Reading and Writing clinic, I give my permission for the Monmouth University Reading and Writing Clinic to contact my child’s teacher and discuss his or her performance and progress in reading and writing. I give permission for the Monmouth University Reading Clinic to request from the teacher any written documents pertaining to my child’s reading and writing performance during the present school year or any previous school years, and to use this information for teaching purposes. All information will be held strictly confidential. At the conclusion of the Reading and Writing Clinic, I understand that a copy of the report of my child’s performance during the Reading and Writing Clinic may be shared with my child’s teacher.
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