Dodger Game Waiting List Form

Yes! I would like to reserve a ticket to the Dodger Game Social Event with Reading to Kids. Note: check must be made payable to Jason Axe.

Please fill out this form. Fields marked with a red asterisk (*) are required.

Waiting List Information First Name*    Last Name* Mailing Address* City*    State*    Zip Code* Primary Area Code and Phone* e.g., (310) 479-7455 Primary E-mail Address* Number of tickets ($11 each) Optional Note to Program Director (Input non-U.S. address here.) By submitting your information here, you are placing an order for Dodger Game tickets. Instructions for paying for the tickets are below, and they are repeated on the confirmation page. Please hit the "Submit" button ONLY ONCE. To complete the transaction, you will need to send a self-addressed, stamped envelope (so we may mail the tickets to you) along with a check made payable to Jason Axe to: Nate Radomski Reading to Kids 1600 Sawtelle Blvd., Suite 210 Los Angeles, CA 90025