• Please complete all fields on this form
• When finished, click the Submit Registration button once
• Registration closes April 5, 2010
• Community Service convocation credit available to all participants

Group Name:

Contact Name:

Address:

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Phone w/AC:

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Since the main emphasis of the day is to promote literacy, we are encouraging as many groups as possible to sponsor a Reading Circle.  The group would choose a theme (sports, science, biography, etc….) and choose several children’s books related to the theme to read during the event.  Books must be approved by the steering committee.  All groups are responsible for decorating their Reading Circle, providing blankets to sit on, and creating signs/posters to identify their Circle.  Groups are also expected to send their participants to one of the 3 volunteer training meetings to be held in Massey 203B on either Tuesday, April 6th from 9:30 – 10:20 a.m., Wednesday, April 7th from 10:00 – 10:50 a.m., or Massey 414 on Thursday, April 8th  from 3:30 – 4:20 p.m.

Our group would like to host a Reading Circle:

If you plan to host a Reading Circle, please submit a list of the books and their authors your group plans to read to Tim Stewart, stewartt@mail.belmont.edu, no later than March 30.  Groups needing assistance in selecting books can contact Rachael Flynn-Hopper, flynnr@mail.belmont.edu, in the School of Education.

Our group would also like to help with one or more of the following areas:

If 'other', please specify:

If participating during the actual event, please indicate in what area your group would like to serve:

Total number of volunteers from our group: