Prime Time Family Reading



Prime Time Family ReadingRegistration FormThank you for your interest in participating in Prime Time, a free program hosted by The Care Center and funded by Mass Humanities. This is a 6-week program that meets on Tuesday evenings starting at 6:00 pm and ending by 7:30 pm. Sessions will take place on Mar. 2, 9, 16, 23, 30 and Apr. 6. Prime Time is a fun way to get the whole family excited about reading books and talking about them with each other. Each week, the session will be led by a trained storyteller and a discussion leader who love working with kids and caregivers. They look forward to getting to know you and your child.People who like to read do so often, and people who read often become great readers. Prime Time shows families how reading together and discussing the big themes in children’s books, like friendship, dreams, identity, and community, can help children want to read more. Prime Time doesn’t just help to improve reading skills; it has also been proven to improve student achievement in school by enhancing critical thinking and reasoning abilities, the kind of higher-order skills that kids need to succeed in high school and college. Best of all, it helps kids develop these skills while having fun and while bonding with their caregivers.Because of the pandemic, Prime Time will be offered online using Zoom. This registration form asks for information that will help us provide you with what you need so you can have a great experience with Prime Time. Thank you for taking the time to fill it out!Parent/Guardian InformationName of Parent(s)/Caregiver(s) who will attend PRIME TIME: Address:City: State: Zip Code:Landline telephone:Cell phone: Does your phone receive text messages? Email: What is your preferred way to be contacted? call at home on landlinecall on celltextemailChildren InformationPlease list the names and ages of your children who will participate in the program (ages 6-10) Name: Age:Name: Age: Name: Age:This program requires the attendance of a parent or guardian at all six sessions in order for their child to participate. Attendance commitmentsCan you commit to being present on Zoom with your child for each session? We understand that you may need to leave the session briefly to attend to the needs of another family member. Clicking “yes” means that you will be able to be with your child for most of each session.YesNoThis is a 6-week program and families are expected to attend at least 5 of the 6 weeks. Please check each week you expect to be able to attend. Please note that sessions may not take the full hour and a half each week and may be shortened if that works better on Zoom.I can attend Prime Time on:Tues., Mar. 2, 6:00-7:30 pmTues., Mar. 9, 6:00-7:30 pmTues., Mar.16, 6:00-7:30 pmTues., Mar. 23, 6:00-7:30 pmTues. Mar. 30, 6:00-7:30 pmTues., Apr. 6, 6:00-7:30 pmIV. Food allergies and food limitationsThe Care Center will have a pizza delivered to your home each week. It is vital that you tell us about any food allergies and food restrictions. Please list food allergies for any members of your family:Number of family members who are: Vegetarian: Vegan: Gluten-free: Access to the internet for sessions on ZoomDo you have an internet connection or do you need a hotspot?Yes, I have an internet connection No, I do not have an internet connection and need a hotspotWhat kind of electronic devices do you have that you could use to access Prime Time each week? Please choose more than one if you have more than one type of device:SmartphoneTabletLaptopDesktop computerI don’t have any device that I could use for Prime Time and need to borrow one for the duration of the programDoes the device you plan to use have a camera and audio so that other participants in the Prime Time program will be able to see and hear you on Zoom?YesNoI am not sureAre you comfortable using Zoom or would like some help learning how to use it before the program starts?I am pretty comfortable using ZoomI have used Zoom a few times but could use a refresherI have not used Zoom before and definitely would like some help learning how to use itVideo ReleaseI understand there is a possibility that photographs taken of my family and me may be used by Mass Humanities (the funder for Prime Time) and/or The Care Center (the hosting organization) for publicity of PRIME TIME programs. I further understand that my family and I may be included in videotaping of sessions and that videotapes will also be used for promoting the program.I give permission to Mass Humanities and The Care Center to use photographs or videos taken of my family and me for the above stated purposes.I do not give permission to Mass Humanities and The Care Center to use photographs or videos taken of my family and me for the above stated purposes.Caregiver concernsThe Care Center wants to know how best to support you. Please discuss any concerns you have about the ability of you, your child, and any other caregivers to participate fully in this program. ______________________________________________________________________________________________________________________________________________________________ ................
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