DUKE DOG READING PROGRAM

VIRTUAL PARTICIPANT COMPLETION BOOKMARK FORM

Participant Info

Student's First Name*

Student's Last Name*

Student's Age*

Student's Grade*

Parent/Guardian Info

First Name*

Last Name*

Email Address*

Mobile Phone*

School Information

Select School*

Teacher's Name*

Total Number of Books Read

I confirm my student has read the required minimum number of books*

I confirm I am the student's legal parent/guardian*

Student Reading Goals:

Pre-K through Grade 3: Five (5) grade-level appropriate books

Grade 4 & 5: Three (3) grade-level appropriate books

Student Rewards:

Basketball Tickets: Students who achieve their assigned reading goal will receive three (3) digital tickets (see form confirmation email for more info), which admit the student and two (2) additional guests to this season's Duke Dog Reading Basketball Games:

Men's Basketball: Saturday, January 13, 2024 against App State

Women's Basketball: Saturday, January 27, 2024 against App State &

Wednesday, February 7, 2024 against South Alabama

Shirley's Gourmet Popcorn: Buy One, Get One Free digital coupon for a small bag of Shirley's Gourmet Popcorn, located in downtown Harrisonburg (will be sent in form confirmation email).

Virginia529 College Savings Sweepstakes: By completing this form, you will receive one (1) sweepstakes entry to win a $529 Invest529 college savings account, courtesy of Virginia529. Click here to view the sweepstake terms and conditions.

JMU School of Professional & Continuing Education – Youth Programs: The winning class will receive 10% off youth camps courses as well as a full youth program course scholarship for the individual that reads the most!

Virginia529 Pizza Party: The winning class (the classroom with the most virtual bookmark submissions) will also receive a pizza party, courtesy of Virginia529.