Parental Permission/Student Enrollment Form
Instant Student Academic Achievement Center Inc./National Preschool Reading Initiative
Child's Name: ______________________________ DOB: _____/______/_______ Parent's Name: _____________________________________
Home Phone: (_____)-________________ Cell Phone: (______)-______________ email: ____________________________________________
Address; _______________________________ City: __________________ State: ______________ Zip:__________- ______
Where does child spend waking hours? ______at home _____with babysitter _______ in a formal day care or preschool __________head start
I give my permission for my child, ____________________________________________ to participate in the National Preschool Reading
print child's name
Initiative sponsored by INSTANT STUDENT ACADEMIC ACHIEVEMENT CENTER. I understand that me and my child can access this program on a computer and/or a smart phone. I understand that this is an opportunity for me to, not only get involved, but to get engaged in my child's learning-to-read process. If I am a *full participant I will also receive 10 independent reinforcement writing exercise for each lesson via my email; to be completed by my child after each one of the 34 lessons contained in the program. As a *full participant, I look forward to receiving many congratulatory communications as my child progresses through the program, and a certificate upon completion. I will take advantage of the opportunity to personally preview a lesson by logging in at www.brslessons.com, selecting unit one from the drop down menu and selecting lesson 1, "The Long A Sound" from the drop-down menu.
Signature of Legal Guardian Date
* a full participant is one who has been duly enrolled with the inclusion of total program management provided by ISAAC.