Book Request Form

2. Teacher Name*
4. Contact Email*
5. Contact Phone*
7. Date of Request*
   Date of Request
8. For which San Leandro School?*
   -- Select One --AssumptionBancroft Middle SchoolChinese Christian SchoolCorvallis ElementaryDayton ElementaryGarfield ElementaryJefferson ElementaryJohn Muir Middle SchoolMadison ElementaryMcKinley ElementaryMonroe ElementaryPrincipled AcademyRoosevelt ElementarySaint FelicitasSaint LeanderSan Leandro HomeschoolSan Leandro PreschoolWashington ElementaryWashington Manor Middle SchoolWilson ElementaryOther San Leandro School
9. Grade Level*
11. Book Topics (up to 4)*
13. Number of Books Per Topic*
15. What type of books would you like?

    1. Fiction
    2. Non-Fiction
    3. eBooks
    4. Physical Books

    Check all that apply.

Leave This Blank:


17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

* indicates a required field