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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
   
Name of School or Organization
Address of Event
Your Name
Your Position
Your Phone or Cell
Emergency Phone
   
Email
Retype Email
   
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