Belmont Family Literacy Day - Saturday, April 10th
Individual Sign-up Sheet

Last Name:

First Name:

Address:

City:

State:

Zip:

Phone w/AC:

Emai:

I am participating (check one):

as an individual

as part of a group

If you are participating as part of a group, name of group:

If participating as an individual, please indicate time you would like to serve (Community Service Convocation Credit is available):

10:00 a.m. – 1:00 p.m. (set-up)

10:00 a.m. – 2:30 p.m. (set-up & first part of event)

1:00 p.m. – 4:00 p.m. (actual event)

2:00 p.m. – 5:30 p.m. (second part of event & clean-up)

4:00 p.m. – 5:30 p.m. (clean-up)

Other

If 'other', please specify:

If participating as an individual, please indicate area where you would like to serve:

Reading circle

Information Booth

Crafts

Greeter

Games

Refreshments

Host / Hostess for group

Contact Information

Registration