LITERACY MONTH 2018 Provider Survey
RequiredRequired Question(s)
Please indicate which activities you participated in with your class/children.  You must try at least one.  Hope you enjoyed them!
 
Required 1.
Check off activities that you participated in.
Dancing Giraffe
Giraffe Mask
Literacy Activity
Math Activity
Science Activity
African Animals Coloring
Draw Yourself Dancing With Gerald
N/A for class/program
Other  
  • Comment:

  • 500 characters left.
Required 2.

 Please complete the following information to be entered to win a children's book for your class/program library. 

First Name:
Last Name:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
City:
State/Province
(US/Canada):
Postal Code:
Age Range of Children who participated:
Total number of children who participated: