2021 Reading Challenge Form

Congrats on completing the challenge!

Presented by Eversource. This form must be filled out in it's entirety. Tickets will be mailed by 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 *

Tuesday, May 18 at 6:35pm Wednesday, May 19 at 6:35pm Tuesday, June 1 at 6:35pm Sunday, June 6 at 1:35pm Wednesday, June 16 at 6:35pm Sunday, July 25 at 1:35pm Tuesday, August 24 at 7:05pm Thursday, September 16 at 6:35pm
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:

Congrats on completing the challenge!