Request Books

Your Organization*

Tax ID

Your Name*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Phone*

Email

Select Program Type*

*If Selecting "Preschool / Child Care Program", at least 25% of families must receive child care subsidy from the Department of Social Services.

If Other, Please Specify

Please Select Locality

Total Number of Books Required*

Total Number of Students Served*

Please Select Grade Level of Readers

If multiple grade levels, specify quantities in comments section.

The Children's Book Bank has a limited number of bi-lingual books, would you like to request any?

Date Books Are Needed By*

Is your class attending a field trip at the Children’s Museum? If yes, which location?

Do you wish to pick-up your books on the date of your field trip?

Yes
No

Comments / Notes*

If you have specific instructions or need to explain your request in more detail, please do so in the space provided.

Please Indicate Plans for your Book Distribution*

Each book I receive from the Children’s Book Bank will be distributed directly to at-risk children in my care, or the care of my organization, to keep as their own. My typed signature in the space provided below serves as my signature*

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Phone

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To date, the book bank has donated over 300,000 books to children in need!

Request Books

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