Read-a-thon Registration Form

Please register your hospital here.

Name*
First Last
Hospital*
Position at Hospital*
Department level*
Street Address (we can not accept PO box addresses)*
Street Address 2
City*
State*
Postcode*
Country
Phone Number*
Email*
Starter Pack
Please complete the following information to help us pack your Little Readers Read -a -thon starter pack for your unit. This is only available to Australian hospitals.
Number of cots in your unit*
Number of posters

Please provide the number of posters you would like to promote the Read -a- thon in your unit (Max 4 posters unit)
Number of bookmarks
Please provide the number of Read -a -thon bookmarks you would like to hand out in your unit
Number of stickers
Please provide the number of Read -a- thon stickers you would like to hand out in your unit
What will your hospital be doing to celebrate read-a-thon?*
Your hospital unit will run read-a-thon from 5th – 16th September and will submit all reading hours by 25th September 2022*
- Yes, I Agree.
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Starter Pack