Independent summer Reading Parent/Guardian Permission Form
All Dublin Middle School Language Arts students are required to read a book of their choice over the summer as part of our summer reading program. This book may be fiction or nonfiction, classic or contemporary, serious or funny.
We would like students to consider books that will be appropriate for a school setting and sufficiently challenging in terms of reading level. Students will have an opportunity to share this summer read with other students in the class during the first week of school.
All students are expected to bring this permission form to their English teachers on the first day of school.
Student’s name: __________________________________
Title of the Book:__________________________________
I have reviewed my student’s Independent Choice Book and have determined that it is appropriate for my child’s middle school Language Arts classroom and this assignment. I can verify that my child has completed the reading of this book.
Signature of the Student: _____________________________Date:_______
Signature of the Parent/Guardian: __________________________Date:________