Family Book Request Form

PLEASE READ THIS ENTIRE MESSAGE:

This form is for families in Connecticut to request free books for their children. We do not provide books out of state.

Some sites in Connecticut partner with Read to Grow to provide a Book Place. However, due to Covid-19, many of these sites are temporarily closed.

On our Find Your Book Place page, you can search for the Book Place nearest you — with details on each site — in English or in Spanish. Any family in Connecticut may visit these sites. Along with books, you will find resources for developing children’s language and literacy skills.

Please contact the site to find out if it is open and can provide free books. If the site is not open, or cannot provide books, please complete the Family Book Request below.

If you have questions, please call our office at: 203.488.6800, or email to: readtogrow@readtogrow.org.

PLEASE FILL OUT THIS FORM. REQUIRED FIELDS HAVE ASTERISKS AND MUST BE FILLED OUT TO SUCCESSFULLY SUBMIT.

Tell us about yourself:
(* denotes required fields)
Today's Date:*
MM slash DD slash YYYY
Parent's First Name:*
Parent's Last Name:*
Mailing Address:*
City:*
State:

CONNECTICUT
ZIP Code:*
County:*
Phone:*
Email:*
Race/ethnicity of families (Choose):*
Please enter your ethnicity:
Have you requested books from us before?*
- Yes
- No
How many children are you requesting books for?*
- 1
- 2
- 3
- 4
- 5
Child 1:
Age:*
Years or Months:*
Gender:*
- Male
- Female
What type(s) of books does your child enjoy reading?
Special requests such as holidays, non-fiction (specify subjects), language other than English:
Child 2:
Age:*
Years or Months:*
Gender:*
- Male
- Female
What type(s) of books does your child enjoy reading?
Special requests such as holidays, non-fiction (specify subjects), language other than English:
Child 3:
Age:*
Years or Months:*
Gender:*
- Male
- Female
What type(s) of books does your child enjoy reading?
Special requests such as holidays, non-fiction (specify subjects), language other than English:
Child 4:
Age:*
Years or Months:*
Gender:*
- Male
- Female
What type(s) of books does your child enjoy reading?
Special requests such as holidays, non-fiction (specify subjects), language other than English:
Child 5:
Age:*
Years or Months:*
Gender:*
- Male
- Female
What type(s) of books does your child enjoy reading?
Special requests such as holidays, non-fiction (specify subjects), language other than English:
How did you hear about Read to Grow?*
Hospital name:*
How would you like to receive your books?*
All books are mailed for free to families. However, we can offer you the option to schedule a time to pick up your books, following our COVID-19 protocols, here at our office in Branford.
- Please mail my books
- I would like to pick up my books
If you choose to pick up your books, a coordinator will call you when your books are ready and will send you the information necessary to schedule your book pickup.
MAKE SURE TO FILL OUT ALL REQUIRED FIELDS BEFORE HITTING THE “SUBMIT” BUTTON.

AFTER SUBMITTING, WAIT FOR ACKNOWLEDGMENT WITH THE “THANK YOU – YOUR BOOK REQUEST HAS BEEN SUBMITTED” MESSAGE. PLEASE KEEP THIS FOR YOUR RECORDS.

IF YOU DO NOT SEE A “THANK YOU” MESSAGE, YOUR ORDER HAS NOT GONE THROUGH.
Name
This field is for validation purposes and should be left unchanged.

How We Help

Family Book Request Form

Tell us about yourself: