Username *

Usernames must be at least 4 characters long

Password *

Passwords must be at least 5 characters long

Password Confirm *

Email Address *

School Name *

School Board *

If you school board is not in the list, choose other and write it below.

Other School Board

Full Mailing Address *

Contact Person *

Title *

Telephone *

Including area code

Fax

Including area code

Read-a-thon Fundraiser *

Will your school be using Read-a-thon as a fundraiser?

Donating to Kiwanis Club *

If your school is using Read-a-thon as a fundraiser, are you donating funds to the Kiwanis Club of Ottawa Read-a-thon to enable more schools to participate in Read-a-thon?

School Funds *

If your school is using Read-a-thon as a fundraiser, how will your school use the funds raised by Read-a-thon?

School Evaluation Form *

After Read-a-thon is over, do you agree to fill in and submit the School Evaluation form to share our Read-a-thon successes?

Date *

When will you schedule your Read-a-thon? (approximate date, i.e., fall year, spring year)

Where did you hear about Read-a-thon? *

Estimated number of participating students *

School Population *