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Child Application: Hillsborough & Pinellas Counties

Fields marked with an asterisk (*) are required.

Please complete the application below to register and provide consent for your child to participate in the Reading All-Stars program.  Once submitted, the program manager will reach out to schedule your child’s sessions.

*It is not recommended to use Internet Explorer for our website, as not all features are supported and your form may not be submitted.

For Pinellas County, this can be found on their report card. For Hillsborough County, it is on the student’s report card and is also used as their lunch number.

Demographics

United Way believes that every person, regardless of race, ethnicity, gender, sexual orientation or religion is entitled to be treated with dignity and respect. We support a collaborative and inclusive culture that values open participation from individuals with different backgrounds, ideas and perspectives.

The below categories are optional for you to answer and will give our team a better understanding of the individuals that are being served in our community.

Permissions

 

I grant permission for my child to be included in the internal Reading All-Stars tutoring evaluation. 

Please read the Student Data Parent Request Form for the county in which your child attends school: Hillsborough County or Pinellas County. (the link will open in a new window)

I give United Way Suncoast the right and permission to use my and/or my child’s picture/portrait/photograph, video recording, and/or written/emailed testimonials and feedback about the program in all forms and all media and in all manners for advertising, trade, and any other lawful purpose, and waive the right to inspect or approve the finished product, including written copy which may be created in connection therein. I and my family members agree to fully release and hold harmless United Way Suncoast, and all entities in which it or its principals have a legal or beneficial interest, from any claims related to the picture/portrait/photograph, video recording, and/or written/emailed testimonials and feedback.

I would like to receive information about additional resources that may be available in my county.

By electronically submitting my name below, I give permission for my child to participate in the United Way Suncoast Reading All-Stars sessions and agree to the program guidelines.