Enrollment Form

Family/Caregiver
and Child Info

1

Book
Interests

2

Shipment
Address

3

Thanks for your interest in the New Worlds Reading Initiative! To be eligible for New Worlds Reading, a child must not yet be reading on grade level, and must be a K-5 student enrolled in a Florida public or district-sponsored charter school.

Please enter your child's full legal information, including the school and grade for the 2022-2023 school year, in the application form below. All information is required unless otherwise indicated. Once you review and submit, you will be given the option to apply for additional eligible children.

Please note, teachers are not eligible to submit applications on behalf of students, parents or caregivers.

Family/Caregiver Name and Contact Information

This field is required.

Name must be between 2 and 30 characters.

Field cannot contain special characters.

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Name must be between 2 and 30 characters.

Field cannot contain special characters.

A phone number or email address is required.

Please enter a valid email address.

Please enter a phone number in a valid format.

Student Information

This field is required.

Name must be between 2 and 30 characters.

Field cannot contain special characters.

This field is required.

Name must be between 2 and 30 characters.

Field cannot contain special characters.

This field is required.

This field is required.

This field is required.

This field is required.

This field is required.

This field is required.

This field is required.

Field cannot contain special characters.

FLEID must be between 1 and 20 characters.

Field can only contain numbers.

Student's School ID must be between 1 and 20 characters.

Select your child's top THREE favorite types of books:

Please select 3 book categories.

Select your preference for specialized book titles. When available, you will receive books based on your preference:

Select at least one specialized book title.

Program only shipping to Florida state addresses.

Shipment / Mailing Address

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That combination of city, state, and zipcode do not match any known addresses. Please edit and try again.

Please check the box to agree to the enrollment terms and conditions.

Please check the box to confirm you have provided accurate information.

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Address
City, State
Zip
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Address
City,State
Zip