Start A Pilot

Your Name:

Your Title/Position:

Your Phone Number:

Your email address

When is the best time to reach you:
 am pm

Name of your organization:

Organization’s Address:

Organization’s Web Site:

How/Where did you hear of Sweet Readers?

Are you a (please check one):
 Public School Private School Camp Organized group of middle school - aged kids Senior Center Alzheimer’s Day Program Assisted Living Facility Nursing Home

Which Sweet Readers program are you interested in?
 Poetry of Art Storytelling through Art The Art of the Craft The Art & Poetry of Music The Poetry of Horticulture Sweet Stories Play Games!

Dates and Location of Program of Interest:

Date (MM/DD/YYYY)

Location (Venue, City)