About the Program
Article Archive
Book Clubs
Current Newsletter
Funding
Participating Practices
Prescriptions for Reading
Reading Incentives
Storytime Sessions
Tips: Reading
Topical Booklists
Web Resources
Learn more (PDF)
Register online
Our sponsors:
Home
>> Readathon
Registration Form
Child's name
*
:
Parent's name
*
:
Address
*
:
Phone
*
:
Email address of parent
*
:
Child's date of birth
*
:
Month
--month--
January
February
March
April
May
June
July
August
September
October
November
December
Day
--day--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
--year--
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
School child attends
*
:
How did you find out about the Readathon?
Are you planning on attending the Readathon Reception on November 9
*
?
Yes, we plan to attend
No, we are unable to attend
*
Required field
2054 South Green Road | South Euclid, Ohio 44121 | 216.291.9424 x151 (phone) | 216.291.9422 (fax)
©2006-2007 Daily Dose of Reading
Email Us
Site by
Design for the Little Guy
Registration Form
*Required field
