2021 Reading Challenge Form

Congratulations on completing the Reading Challenge!

Thanks to Eversource, you've earned two free game tickets to a Fisher Cats game by reading five books! This form must be filled out in its entirety by March 18th. Tickets will be delivered two weeks prior to the selected game.
Student Name *

First Name Last Name
Date of Birth *

Month Day Year
Date
School *
Mailing Address (we cannot mail to schools) *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Parent/Guardian Name *

First Name Last Name
Parent/Guardian E-mail *
example@example.com
Book #1 *
Book #2 *
Book #3 *
Book #4 *
Book #5 *
Each participant receives two (2) FREE tickets courtesy of Eversource. Please select an additional ticket option *

I would like to purchase additional tickets at the group rate of $10/ticket (plus $3 processing fee)* I would only like the two free tickets provided
Reading Challenge game I'd like to attend *

Saturday, April 16 at 6:35pm Sunday, April 17 at 1:35pm Saturday, April 30 at 6:35pm Sunday, May 1 at 1:35pm Saturday, May 14 at 6:35pm Sunday, May 15 at 1:35pm Wednesday, June 15th at 6:35
If submitting forms for multiple children in the same household, please list the names of the other children so we can seat you together.
*If you selected the option to purchase additional tickets, a member of the Fisher Cats staff will call you for payment information.
Should be Empty:

Congratulations on completing the Reading Challenge!