2021 Reading Challenge Form

2020-2021 Reading Challenge Form

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
*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:

2020-2021 Reading Challenge Form