Registration | DOBI Reading Program

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DOBI Reading Program Registration

Please complete the Registration Form below.

What type of services are you looking for? (Can check multiple) * Required

Reading, Writing, and/or Comprehension

Math Tutoring

Executive Functioning Coaching

I'm Not Sure

Which one of our locations are you registering for?

Student's Full Name

Student's Age

Student's Grade Level

Parent/Guardian Full Name

Phone

How many lessons per week are you looking for? *

Not sure

Is the student homeschooled or part of any reated program? *

Yes

Is English the student's first language? If not, what is their primary language?

Does the student speak other languages at home? If so, please list languages spoken and/or written.

Is the student in French Immersion? *

Yes

Has a psychoeducational assessment been completed? *

Yes

Does the student have any sensitivities?

What areas does the student struggle with most?

Are there any medical issues to be aware of? If so, please list and outline any special instructions.

How did you hear about the DOBI program?

Disclaimer: DOBI Reading Program is an independent organization and is not affiliated with, sponsored by, or endorsed by the Orton-Gillingham Academy, Barton Reading & Spelling System, or Davis Dyslexia Association International. “Orton-Gillingham,” “Barton,” and “Davis®” (including “Davis Dyslexia Correction®”) are the registered trademarks of their respective owners and are used here for informational purposes only.

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