Family Application for Books

Read to Grow provides free books to Connecticut families and programs that serve children. Unfortunately we cannot provide books to those outside of the state at this time.

Please allow 2-4 weeks for your request to be processed.

Tell us about yourself: (* denotes required fields)
Date
Parent's First Name *		Parent's Last Name *
Address		Apt. #
Floor
City		State       Zip
County * Fairfield Hartford New Haven New London Middlesex Litchfield Tolland Windham
Phone *		Email *
What type of books does your child enjoy reading? Special requests (board books, picture books, chapter books, non-fiction, series): If non-fiction, specify subject(s): Have you requested books from us before? Yes  No Age(s) of child(ren): Gender: Male  Female Male  Female Male  Female Male  Female How did you hear about Read to Grow? *: TV/newspaper Teacher/Childcare Provider Home Visitor Internet Library Friend/Family Member In Hospital When My Baby Was Born Other Hospital Name *: If other please specify *: Enter the code shown above More Info Why Do I Need to Enter This Code? By entering the code you see in the box, you help us prevent automated registrations. This reduces system loads and ensures better performance of our services. If no image appears, please make sure your browser is set to display images and try again. If you are not sure what the code is, make your best guess. If you guess incorrectly, you will have an opportunity to enter a different code on the next screen. Visually impaired or blind users: please contact us for assistance.  Top      Printer Friendly