Reading Is My Superpower 11, Registration Form Please fill out this form! You will receive a FREE BOOK when you register and a FREE Book when you send in your SUMMARY SHEET. The contest rules, prizes sheet, and book summary sheet will be sent to you. You can also fill out your book summary sheet online. You must live in the State of Indiana. If you have any questions, please contact Tara Wills at twillsfaithoutreach@gmail.com or 317-720-8220. Good Reading! Date Child's Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please select age appropriate books for checked age group!* 6 - 13 Years of age 14 - 18 Years of age Age*Book Title and Author -*Parent's NameParent's PhoneParent's Email