Don't Feed The Lion - Free Book Registration

Register below for a free copy of "Don't Feed The Lion." One book per family.

Parent 1 Information

Parent First Name

Parent Last Name

Parent Email

Parent Cell Phone

Street Address

City

State

Please select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Virgin Island Northern Mariana Islands Guam American Samoa Palau

Zip

Add a second parent?

Please select... Yes No

Parent 2 Information

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email

Parent 2 Cell

Child's Information ( Please enter names and dates of birth for all children)

Child First Name

Child Last Name

Child Date of Birth

Relationship to Child

Please select... Parent Grandparent Family

Would you like to attend our free book talk with the author of the book, Bianna Golodryga, on Sunday, March 15, at 7:00 p.m. ET on Zoom?

YesNo

Names of people that will be attending:

I grant to Lappin Foundation, its representatives, and employees the right to take photographs of my child in connection with Don't Feed The Lion Book Talk. I authorize Lappin Foundation its assignees and transferees to copyright, use and publish the same in print and/or electronically. I agree that Lappin Foundation may use such photographs of my child with or without their name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. I waive any right to royalties or other compensation arising from or related to the use of the photographs taken of my child.

YesNo

By registering for this program, I waive all liability of Lappin Foundation and the hosts/program partners of the event I attend and all other participants for any injury suffered by me or my family.

I agree