Reading, Give it a Shot Official Classroom Entry Form 2016-17 Regular Season

Students are required to complete the assigned reading minimum for their appropriate grade level prior to submitting an Entry Form. Please check the box below that corresponds to your classroom’s grade level.

As an authorized representative of my classroom, by checking the box next to my grade level, I certify that my students have completed their required reading in one month.

□ Grade 1, 60 minutes per month □ Grade 4, 400 minutes per month □ Grade 2, 120 minutes per month □ Grade 5, 500 minutes per month □ Grade 3, 300 minutes per month □ Grade 6, 600 minutes per month

CLASSROOM INFORMATION

School Division/Authority: ______School: ______School Mailing Address: ______City, Province, Postal Code: ______Phone : ______Teacher Name: ______Email Address: ______Number of Students: ______□ Please check box if your classroom requires accessible seating.

EDMONTON OILERS AND OIL KINGS GAME SELECTION:

Please select (1) Oilers and (1) game from the list below. Winning classrooms will be notified two weeks prior to the awarded game. Please note that games may be subject to change.

Edmonton Oil Kings

□ Tuesday, October 25 vs. , 7:00 PM □ Tuesday, October 18 vs. Carolina Hurricanes, 7:00 PM □ Thursday, November 10 vs. Blades, 7:00 PM □ Thursday, October 20 vs. St. Louis Blues , 7:00 PM □ Wednesday, November 16 vs. , 7:00 PM □ Tuesday, December 13 vs. Columbus Blue Jackets, 7:00 PM □ Monday, December 5 vs. Hurricanes, 7:00 PM □ Tuesday, March 14 vs. Dallas Stars, 7:00 PM □ Friday, December 9 vs. Brandon Wheat Kings, 7:00 PM □ Thursday, March 30 vs. San Jose Stars, 7:00 PM □ Friday, December 16 vs. Lethbridge Hurricanes, 7:00 PM □ Wednesday, January 11 vs. Lethbridge Hurricanes, 7:00 PM □ Thursday, January 19 vs. , 7:00 PM □ Wednesday, February 8 vs. Broncos, 7:00 PM □ Friday, February 10 vs. Regina Pats, 7:00 PM □ Wednesday, March 1 vs. Kootenay Ice, 7:00 PM

Please submit your completed form to Chris Ng-Muk-Yuen via email at [email protected] or by mail at: Oilers Entertainment Group Canada Corp. ATTN: Chris Ng-Muk-Yuen 300, 10214 104 Avenue NW Edmonton, AB T5J 0H6