Dorky Reader Club Kits Application

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Dorky Reader Club Kits

Apply to receive a FREE Dorky Reader Club kit containing Dork Diaries books, posters, bookmarks, pencils, and stickers.

US residents Only!

Teacher's Full Name

Provide your full name.

Teacher’s School Email Address

Provide your email address. For e.g [email protected]

Teacher’s Telephone Number

Provide your phone number. For e.g. 212-456-7890

Classroom Grade Level

Provide the classroom grade level.

School Name

Provide the Full Name of the School you work for.

School Mailing Address

Provide the US School's mailing address. For e.g. Street address, City, State, Zip Code

School Telephone Number

Provide the school's phone number. For e.g. 212-456-7890

Principal’s Name

Provide the school's principal name.

Number of Students In Your Classroom

Provide the number of students in your classroom.

Number of Girls

Provide the number of girls in your classroom.

Number of Boys

Provide the number of boys in your classroom.

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