Register For ALD Materials

Your Name*
Email*
School Name You Will Read At:*
Teacher's/Teachers' Name(s) You Will Read To:
Mailing Address*
This is the address where the supplies will be sent. It can be the reader's home or work address or the school you will be reading at. Please specify.
Your Phone Number*
County School is in*

Please list the Florida County you will read in, not the country.
What date will you be reading for Agriculture Literacy Day?*
In how many classrooms will you read?*
How many students in K-2nd will be read to total?*
How many students in 3rd-5th will be read to total?*
Name of Agricultural Affiliate

If you are a volunteer reader going into a classroom, please enter the name of your affiliation if applicable.