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  Registration Form

  Note: registration is open to educators only. If you are a parent interested in participating, please contact your child’s teacher or school.

• First Name *

  
  
  

• Last Name *

  
  
  

• Reading Club Account Number *

  *If applicable

  
  
  

• Email *

  
  
  

• We will send confirmation of your participation to this email address.
  *note: if your school board has a strict firewall, please provide an alternate email address.

  
  
  

• Phone *

  
  
  

• School Name *

  
  
  

• School Address *

  
  
  

• City/Town *

  
  
  

• Province *

  
  
  

• Postal Code *

  
  
  

• Language Preference *

  Select language English French

• Role *

  Select Role Teacher Educator Librarian Other
  
  
  

• Grade You Teach *

  
  
  
  
  

• Number of students *

  
  
  

• Other Role *

  
  
  

• Have you participated in Classrooms Care before? *

  Select Yes No
  
  

• Please indicate which program you're actively participating in. *

  Select Program Book Fairs Reading Club Both Neither
  
  

• How did you hear about Classrooms Care*

  Received a poster with my Club order
  Social Media
  Bookfair Chairperson
  Word of Mouth
  Other
  
  
  

  Other: *

  
  
  
• Yes, sign me up! (Please do not check this box if you’re already receiving emails from us)
  

  By checking this box, I agree to receive news, offers, and other promotional materials from Scholastic, including emails pertaining to the Classrooms Care program and my participation in it. I understand that I can withdraw my consent at any time.

  
  
  

Security question: What is the opposite of low? *