Home Literacy Program How to Help Blog Captain Book Contact

  Captain Book Visit Request Form

To reserve a visit by Captain Book to your school or organization, please fill out the form below and click the Send button to submit it to the Captain for review.  All fields are required. If you prefer, you may fill out a printed copy of the form and send it to KCGE Foundation P.O. Box 230635 Encinitas, CA 92023.

   
Name of School or Organization
Email
Retype Email
City/ State/ Zip
Number of Children
Age Range
Contact Person
Position
Phone
Cell Phone
Date Requested
Time Requested
Duration
Alternate date and times
Will there be a place large enough to part the 25-foot long Good Ship Literacy?
Directions from Encinitas (please include helpful landmarks I might recognize)
Is there anything about this group that would be helpful for me to know?
Security code CAPTCHA Image
Reload Image
Verify code
 

 


Site hosted and maintained courtesy of Computer Troubleshooters of Encinitas
 

The Greater Encinitas Kiwanis Club is a chapter of Kiwanis Division 37

.