To , Fax. #

Name:

Birth Date:

Location of
Class:

The above client has been pre-screened, registered, and is attending the Get Set Learn program. This client has signed an agreement to attend Get Set Learn classes and a release of information will be forwarded to you regarding attendance.

This client requires bus tickets to get to and from the program.

Yes

No  

We have provided the bus tickets on your behalf

This advice requires no action from you. It is for information only. Please do not hesitate to contact me if you require any further information. Call me at 518-000-0000.

Sincerely:
Lola Coordinator,
Project READ Family Literacy Coordinator