Please fill out this application if you are interested in forming a Flaggerdoot. Please remember that Flaggerdoots are only for students reading at the Kindergarten, 1st grade, or 2nd grade levels.

PLEASE COMPLETE ALL FIELDS OF THIS APPLICATION

Applicant's Name  
Job Title  
Grade Taught  
County (not country)  
Name of School or Literacy Program  
Address  
City  
State  
Zip Code  
Telephone Number
(No dashes or spaces)
  Please enter a valid phone number
Email Address  
How many children will be in this Flaggerdoot?  
Please tell us why you would like to form a Flaggerdoot:
I agree to the following Wilbooks Free Books and Supplies agreement: