RAP Registration
Iliahi Elementary School

*Note: You must be a member of the school community to attend.

In order for Read Aloud America to receive state funding which enables us to bring the Read Aloud Program to your school, we are required to ask for the information in this questionnaire. Your answers are confidential. All information is required.

Thank you for supporting RAP!!

Head of Household that is attending RAP:
First Name:
Last Name:

Phone Number:

Street Address:
City State ZIP

Please include me in the Read Aloud mailing list

eMail address:

I give Read Aloud American permission to use photographs of me and my family at Read Aloud Program (RAP) sessions for educational, promotional, or other not-for-profit purposes.

I agree

Please indicate the names of any additional adults attending this session with you:

Please indicate the names of children attending this session with you and their grade level: (Please list babies too! Enter T in the grade level column for children under 2, PK for children ages 3-4.)