Reader's Club Registration

1

Name of School* This field is required.

2

Category

Pre- Primary Level

Primary Level

Both

4

School Information

Region

District

Physical Address of School

Telephone

5

School Management

Name of Principal / Headmaster/ Headmistress

Telephone

Email

6

Name(s) of the Reader's Club Champion / Coach / Volunteer with the Grade they supervise

Kindly Attach the Contract Form for Each Volunteer

7

Reading Club Details

Average Age of Leaners per Grade

Number of Boys

Number of Girls

Languages in which the Books are Read

Language frequently used for Communication in the Club

How many Learners are in the Club on a Regular basis

8

Fill If the Reading Club is supported by another Organisation apart from Longhorn PublishersSkip if not Applicable

Name of Organisation

Address of Organisation

Focused area of Support

Telephone

Email

Date of Registration with the Organisation

Expiration of Support

10

Frequency of MeetingsWhen does the Reading Club meet?

Before School

During School

After School

Other

12

Has permission been obtained from each parent for the learner to take part in the reading club and to take photographs and use them for educational purposes?

Yes

No

13

For any Recommendations / Enquires

14

Download Volunteer Contract

15

Upload Volunteer Contract

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Select files to upload

Max. file size: 10.6MB

16

Signature