Letter reversal is not all that uncommon among beginning readers. Sometimes it is an indication of a weak memory or lack of attention to discriminating details. However, for students that require help with letter reversals, this is a great hands-on activity. Materials are easily created using an Ellison die cutter and laminator. This activity was specifically designed to work with tier 3 RtI (Response to Intervention) students who need specific help on letter reversals.