* 1. Would you like to read this years PA One Book to children in an early learning program? If so, complete the registration information below.

* 2. What is your complete mailing address?

* 3. Your phone number (including area code)

* 4. Your email

* 5. Please select the county where you would like to read. (You may select multiple counties)

* 6. Your availability (please select any or all dates and times you would be available)

  Morning (9-10 AM) Morning (10-11 AM)
Monday, April 2nd
Tuesday, April 3rd
Wednesday, April 4th
Thursday, April 5th
Friday, April 6th
Monday, April 9th
Tuesday, April 10th
Wednesday, April 11th
Thursday, April 12th
Friday, April 13th
Monday, April 16th
Tuesday, April 17th
Wednesday, April 18th
Thursday, April 19th
Friday, April 20th
Monday, April 23rd
Tuesday, April 24th
Wednesday, April 25th
Thursday, April 26th
Friday, April 27th

* 7. Have you been a PA One Book reader in the past?

* 8. How many classrooms would you like to read to? (Each reading takes approximately 10-15 minutes)

* 9. Do you have a preferred early learning program at which you would like to read? If so, please complete the following information and we will do our best to match you with the program.

* 10. Are willing to read at more than one early learning program?

* 11. Is there any additional information about being a guest reader you would like to provide? If so, please include it here.

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