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2008 Buzz Into Books Back to School Literacy Campaign

Registration Form

On August 9th Buzz will be hosting his Back to School Literacy campaign at our community center located at the Carlisle Lakes apartments located at 12535 Tinsley Circle, Tampa, FL 33612 (off 127th Ave, just East of 15th St)

We will be holding the event at the playground of the complex. Bring your children and expect to have lots of fun. Please drop by the registration table for confirmation and to receive a wrist-band for the event.

Click here to download our flyer (requires Adobe Acrobat viewer)

Please provide the following contact information:

Parent or Guardian's:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

Does your child(ren) go to an after school program? (Check one):

Yes
No

Programs of interest?:

Etiquette & Manners  	Story Time 	  	Child mentoring 	Health & Nutrition             
Tutoring      	Family Literacy Reading parties    		   
Financial classes 	Dance Classes		Community Service  	Grandparent Support classes

Please Provide the name of your child(ren):

First Name
Last Name
Middle Initial
Age
Gender	Male Female

Please provide the name of you second child (if any):

First Name
Last Name
Middle Initial
Age
Gender	Male Female

Please provide the name of your third child (if any):

First Name
Last Name
Middle Initial
Age
Gender	Male Female

Please provide the name of your fourth child (if any):

First Name
Last Name
Middle Initial
Age
Gender	Male Female

Please the name of your fifth child (if any):

First Name
Last Name
Middle Initial
Age
Gender	Male Female

How did you hear about our event?

It's All About Kids, Inc.Copyright © 2008 It's All About Kids, Inc. All rights reserved. Revised: August 02, 2008

It's All About Kids, Inc.
Copyright © 2008 It's All About Kids, Inc. All rights reserved.
Revised: August 02, 2008