Volunteer Registration

If you'd like to experience the joy and satisfaction of sharing wonderful stories with children, please fill out this form.

Date:

Name:

Street Address:

,
City, State, Zip

Home Phone: Cell Phone:

Work Phone:

Birthday (mo/day):

E-mail Address:

Emergency Contact:

Emergency Phone:

Volunteer Interests

Grade Level Preferences: Please check all grades you will consider

Toddler Assistant (ages 2-3)	Grade 4
Pre-Kindergarteners (ages 4-5)	Grade 5
Grade 1	Grade 6
Grade 2	Grade 7/8
Grade 3

Areas of interests:

Island:

Oahu

Maui

Big Island

Molokai

What volunteer area(s) are you interested in?
Can you help with:

Community Events	Other
Office Work	Taking Pictures
Computer Work	Sorting/marking books

Photo Permission

Please put an X in the box below if you agree: I give Read Aloud America permission to use photographs of me and my family at Read Aloud Program (RAP) sessions for educational, promotional, or other not-for-profit purposes. Photo Permission : Enter X in the box if you agree

If you have questions, please contact Read Aloud America’s Volunteer Coordinator at 531-1985.

E-mail us: read@readaloudamerica.org