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 up to two dates below. If more are selected you will only be entered for the first two. (required)
2/13/212/27/213/13/213/27/21