ROP Reading Challenge Registration

* Indicates required field

Parent's/Caregiver's Name 1 *

First

Last

Email *

Parent's/Caregiver's Name 2 *

First

Last

FB Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Best Way to Reach You *

Phone Email Facebook

Participating Child's Name *

First

Last

Age of Participating Child *

Participating Child's Name *

First

Last

Age of Participating Child *

Participating Child's Name *

First

Last

Age of Participating Child *

Participating Child's Name *

First

Last

Age of Participating Child *

Can you or anyone volunteer at the Reading Party? *

Yes No Maybe

Would you like to donate any material for the Reading Party? *

Yes No Maybe

Please list names of any possible volunteers for the Reading Party. *

Please list material for possible donation if you like. *

Please share any ideas you have for the reading party. *

Any suggestions, comments, concerns, etc *

Don't forget to purchase your Reading Passport(s)! To purchase click HERE.
Have a wee little one? Get your baby involved with the Baby Book Club!

Submit

The ROP Reading Challenge

ROP Reading Challenge Registration

Don't forget to purchase your Reading Passport(s)! To purchase click HERE.Have a wee little one? Get your baby involved with the Baby Book Club!

Don't forget to purchase your Reading Passport(s)! To purchase click HERE.
Have a wee little one? Get your baby involved with the Baby Book Club!