SCHOOL NAME: __________________________________________________ COUNTY: _______________________ SCHOOL DISTRICT NAME: __________________________________________________________________________ CONTACT PERSONS NAME: ________________________________________________________________________ SCHOOL MAILING

ADDRESS: _______________________________________________________________________ CITY: _______________________________________________ STATE: ___________ ZIP: ____________________ SCHOOL PHONE #: ____________________________________ FAX #: ____________________________________ EVENING PHONE #: ___________________________________ EMAIL: ___________________________________ DATES OF CHRISTMAS BREAK: __________________________ SPRING BREAK: ____________________________ LAST DAY OF THE 2011-12 SCHOOL YEAR: _________________________________
The following information will help ensure you receive an appropriate amount of materials. Please answer as accurately as possible. If the numbers change, please notify us as soon as possible. NUMBER OF STUDENTS WHO WILL BE PARTICIPATING IN THE PROGRAM: __________________________________ Proud Partner of the TinCaps NUMBER OF CLASSROOMS THAT WILL BE PARTICIPATING IN THE PROGRAM: _______________________________ Reading Program NUMBER OF TEACHERS/LIBRARIANS/PRINCIPALS WHO WILL BE ASSISTING WITH THE PROGRAM: ______________ Program Run Dates: Let us know the dates that you plan to run the TinCaps Reading Program. Please keep the deadlines in mind and that the program must be completed at least five (5) weeks prior to your schools game date.

YOUR PROGRAM RUN DATES

We are offering two ways of processing the ticket orders for your game day. Please choose one (1) at this time. Students are given their ticket order forms once they meet their goals. The students parents will mail the orders (for student tickets and additional relative tickets) to the TinCaps who will process and mail the tickets back directly to the students family. The school will prepare ticket orders for student, teacher and additional relative tickets (using the group order form in the educator informational packet) and mail them to the TinCaps all at one time. We will then process and mail the tickets back to the school. This will ensure that you will be seated together as a group. Below are available dates for the TinCaps Reading Program participants to attend. Please mark your 1st, 2nd, and 3rd choices. You will be notified of your game date when you receive your program materials in December. We will do our best to give you your first choice and contact you if there are any problems.

Friday, April 6 @ 7:05pm Saturday, April 7 @ 5:05pm Monday, April 16 @ 7:05pm Tuesday, April 17 @ 7:05pm Wednesday, April 18 @ 11:05am Wednesday, April 25 @ 7:05pm Friday, April 27 @ 7:05pm Saturday, April 28 @ 5:05pm

Sunday, April 29 @ 3:05pm Monday, April 30 @ 11:05am Wednesday, May 9 @ 11:05am Friday, May 11 @ 7:05pm Saturday, May 12 @ 5:05pm Sunday, May 13 @ 3:05pm Monday, May 14 @ 7:05pm

Sunday, May 20 @ 3:05pm Monday, May 21 @ 7:05pm Saturday, May 26 @ 7:05pm (Fireworks) Sunday, May 27 @ 7:05pm (Fireworks) Monday, May 28 @ 3:05pm Tuesday, May 29 @ 7:05pm Wednesday, May 30 @ 7:05pm

DON'TFORGET:ALLSCHOOLSAREENCOURAGEDTOSIGN-UPONLINEATTINCAPS.COM GAMEDATESFILLUPQUICKLY,SOENROLLTODAYPLEASEKEEPACOPYOFTHISFORMFORYOURREFERENCE

PLEASE RESPOND BY FRIDAY, DECEMBER 16!

QUESTIONS?:CALLPENNYAT(260)407-2809

RETURNTO:FortWayneTinCapsReadingProgramEnrollmentParkviewField1301EwingSt.FortWayne,IN46802 FAX:(260)471-4678orgoonlinetoTinCaps.com