PROPHONICS
READERS
Let the Journey Begin!
STEP 1/2
First, Let's Get to Know You
Estimated time: 90 seconds
Parent/Guardian's First Name
*
Parent/Guardian's Last Name
*
Parent/Guardian's Email Address
*
Parent/Guardian's Phone Number
Student's First Name
*
Student's Last Name
*
Student Sex
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Male
Female
Student's Age
*
Student's Grade as of September 2025
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Has the student received extra help or support with reading before?
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Yes
No
Has the student been diagnosed with any of the following:
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ADD/ADHD
Dyslexia
Memory difficulties
None of the Above
Other
Submit
