Turn the Page Academic Reading Program Initial Request Form

Turn the Page Academic Reading Program Initial Request Form
Request a Book

Please provide your information so we can send you a book. This form is private and we will never share your information.
Parent/Guardian Name

First NameLast Name
Student Name

First NameLast Name
Address/PO Box

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What’s your student’s academic level?

K-3rd4th - 6th7th - 9th10th - 12th
What type of story books does your student like?

AdventureComedy/HumorDramaFantasyMysteryScience FictionThrillerOther
Would your student like an activity book or experiment with their story book?

Activity BookScience ExperimentNeither
Should be Empty:

Request a Book