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Reading Day of Action School Sign Up

Thank you for signing your school up with

United Way of Southwest Michigan

for the March 15 Reading Day of Action!

Please fill out the form below. Someone will contact you with further information as we get closer to the day of the event.

Please complete the following form by February 17, 2012.

 

We look forward to matching volunteers to read at your school!

I agree that the school/facility listed above will participate in the United Way of Southwest Michigan’s Reading Day of Action to be held on Thursday, March 15, 2012. I understand that this means that volunteer groups from local companies will be visiting our school/facility that day to read to our students.

I hereby release, indemnify and hold harmless the United Way of Southwest Michigan, the participating United Way staff and volunteers from any and all liability in connection with the Reading Day of Action. In addition, United Way has permission to utilize any photographs or videos taken for publicity purposes and disseminate statements referring to me in conjunction with the event, authorizing any newspaper, company or other organization to publish, republish or exhibit said materials with or without identification of me by name in the promotion of United Way of Southwest Michigan.

Readers will come to your classroom for a 15 minute period during the time you have selected. An exact time will be communicated prior to the event. Please select all options that work for your classroom.

Readers will come to your classroom for a 15 minute period during the time you have selected. An exact time will be communicated prior to the event. Please select all options that work for your classroom.

Readers will come to your classroom for a 15 minute period during the time you have selected. An exact time will be communicated prior to the event. Please select all options that work for your classroom.

Readers will come to your classroom for a 15 minute period during the time you have selected. An exact time will be communicated prior to the event. Please select all options that work for your classroom.

Readers will come to your classroom for a 15 minute period during the time you have selected. An exact time will be communicated prior to the event. Please select all options that work for your classroom.

Readers will come to your classroom for a 15 minute period during the time you have selected. An exact time will be communicated prior to the event. Please select all options that work for your classroom.

Readers will come to your classroom for a 15 minute period during the time you have selected. An exact time will be communicated prior to the event. Please select all options that work for your classroom.

Readers will come to your classroom for a 15 minute period during the time you have selected. An exact time will be communicated prior to the event. Please select all options that work for your classroom.

I have additional classrooms. Please contact me for the information and times.