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Reading to the Rescue Participation Form
Sign up here to read aloud or listen to a story with a gentle therapy dog on Zoom! Make sure to include an email address that can receive emails since that's where we'll send the Zoom link. Adults must be accompanied by a child. Questions? Email
msires@lapl.org
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* Indicates required question
Email
*
Your email
Name as it will appear in the Zoom session (This will need to match our list to be admitted to the program)
*
Your answer
Attending Child's/Children's Name(s)
*
Your answer
Age(s) of Child/Children - Check all that apply (Adult attendees must be accompanied by children.)
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Would your child like to:
Read a book
Listen to a book
Both!
Clear selection
Do you have books on hand to read with a dog?
Yes
No
Clear selection
Anything else you'd like us to know? (Ex., My child is an English language learner, etc.)
Your answer
Send me a copy of my responses.
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