Watch this video and complete a 5-question survey and receive a free book from the Literacy Coalition of the Permian Basin! Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeWhich Hospital was your child born in? *When did you first look through your POWER Bag? *How familiar were you with the importance of reading before reviewing the information in the POWER Bag? *What is the highest level of formal education that the child’s mother or father received? *What is your yearly income as a family? *As a parent, do you need help with reading resources? *NoYesSubmit