Join the Waiting List for Adolescents with Reading Challenges — Dyslexia!

This upcoming video course is designed for adolescents ages 13-18 years old with Dyslexia.

Our team will reach out to you when enrollment for this course opens.

First Name *

Last Name *

Phone *

Email *

How many children are in the family? *

How many children participate in the program? *

Student's Full Name *

If there is more than one child, please tthe child(ren)'s full legal names here: *

Student's Age *

Student's Grade Level *

What is your child's current reading level? *

Has your child received a professional diagnosis?: *

If yes, please select all that apply (Response optional):

Dyslexia

ADHD

Speech or Language Disorder

common.other_option

I certify that I have full legal authority to enroll the child(ren) in this program. I acknowledge that I have read and agree to the Dyslexia Rescue Terms of Use and Privacy Policy. I also consent to receive communications from Dyslexia Rescue regarding this application and related services.

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