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  Captain Book Visit Request Form

If you would like members of the Captain Book Literacy crew to visit your school or organization, you must fill out the form below (all fields are required) and submit it to the Captain to review.

   
Date Requested Time Requested
Alternate Date Alternate Time
       
Number of Children Age Range
Time Allowed    
       
School / Organization Name
Address of Event
Your Name
Your Position
Your Phone or Cell Emergency Phone
   
Email Address
   
Directions / Parking Instructions
Is there anything about this group that would be helpful for us to know?
 

 


  
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The Kiwanis Club of Carlsbad is a chapter of Kiwanis Division 37