2017 Read2Connect Request

PLEASE READ INSTRUCTIONS CAREFULLY AND COMPLETE ALL REQUIRED FIELDS.

The USO of Central & Southern Ohio is pleased to be able to support our local military families. Please complete the Read2Connect registration form and we will contact you with the dates and locations of upcoming recording opportunities.

Question Title

* 1. If you are submitting a request for a Family Readiness Group or other organization, please provide contact information for the primary point of contact.

Name

Unit or Organization

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Estimated Attendance

Adults

Children

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* 3. If you are submitting a request for an individual family, please provide Parent/Guardian contact information, Reader (Child) information and Recipient Information below.

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 4. Reader (Child) Information

Name

Age

Grade Level

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* 5. Recipient's Information

Relationship to Reader

Branch of Service

Component (Active, Reserve, Guard)

Not Military (Please explain)

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* 6. Preferred location

Rickenbacker Air Force Base, Columbus

Beightler Armory, Columbus

Army Reserve Center, Whitehall

Wright-Patterson Air Force Base, Dayton

Other (please specify)

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* 7. Preferred Dates/Times

1st Choice: Date/Time

2nd Choice: Date/Time

3rd Choice: Date/Time