PenPal Registration
Parents: please answer a few questions about your child, and we will send you a PenPal match!
Email address *
Parent's first and last name *
Your answer
Parent's phone number *
Your answer
PenPal's first and last name *
Your answer
PenPal's age *
Your answer
PenPal's complete address *
Your answer
Three things the PenPal is interested in *
Your answer
How did you hear about the PenPal program? *
Required
Anything else you'd like us to know?
Your answer
Lit Youngstown has programs for readers, writers and storytellers. Would you like to receive our newsletter?
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy