|
New York State Assembly Excellence in Reading Certificate Information Form |
|
Child’s Name |
|
School |
|
Parent or Guardian Name |
|
Address |
|
Phone |
|
|
|
Number of Days Completed |
|
Favorite Books |
|
To receive your certificate, please have your parents complete the above form and send it with the attached calendar to:
Assemblymember |
|
Back |