Skyzone Registration Form

Black History Month Reading Challenge Registration Form
Challenge Runs from February 8 - March 1

Books for Reading Challenge:
- Freedom Walkers: The Story of the Montgomery Bus Boycott
- The 1619 Project: Born on the Water
Contact Rev. Shenita Thomas at sthomas@mtolivebc.org for participation guidelines.
Parent/Caregiver Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
How many children are participating?*

Please list the names and ages of all children participating.

	Child's Full Name	Child's Age
Child 1
Child 2
Child 3
Child 4
Child 5

Should be Empty: