Wild About Reading: Request Information

Each February, the Wild Country 99 Airstaff will join local schools and read to them in honor of National Reading Month! Coborn's is also a sponsor of this event.

If you would like more information about having Wild Country 99 & Coborn's join your class and get WILD About Reading, fill out the form below!

Thank you for your interest in Wild About Reading

First Name:
Last Name:
Birth Date:
Day Phone:
Evening Phone:
E-Mail Address:
Name of School or Organization:
City of School or Organization:
If Applicable, Which grade Level(s) would you like to participate:
Are you a Parent or employee of the listed School/Organization:
What is your Preffered Method for us contact you?:	Daytime Phone Evening Phone Email
Comments: