That All Children May Read Early Literacy Program

Registration

Special program for blind and visually impaired children between birth and six years old to gain the skills they will need to learn to read.

1. Child's First Name *This question is required.

2. Child's Last Name *This question is required.

3. Child's date of birth (00/00/0000) *This question is required.

4. Is your child currently a patron of Wolfner Talking Book and Braille Library? *This question is required.If your child is not a current patron, an application must be certified and approved before enrollment in this program.

5. Main Contact's First and Last Name *This question is required.

6. Main Contact's Relationship to Child *This question is required.

7. Main Contact's Email

8. Main Contact's Phone *This question is required.

9. Main Contact Preference for Correspondence: *This question is required.

10. Youth Size T-Shirt *Note: This t-shirt will be mailed one year after this registration was submitted *This question is required.