Parent / Guardian First and last name (required)

Contact Email (required)

Contact Phone Number (required)

WAIT LIST Child Readers:

How Many Child Readers? (required)
123>

Name of Reader 1 First and last name (required)

Name of Reader 2 First and last name

Name of Reader 3 First and last name

Please select only one date below. If more are selected you will only be entered for the first one with available space. (required)
5/8/215/22/216/12/216/26/217/10/217/24/21