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2017 "Read to Me" Registration (Ages 0-4)
Don't forget to pick up your Summer Reading stickers to help keep track of the time you spent reading!
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Primary Phone
*
Your answer
E-Mail Address
*
Your answer
Can we e-mail you about future library programs?
Yes
No
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Gender
Boy
Girl
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Age
*
Choose
Under Age 1
1
2
3
4
Have you ever joined our Reading Club before?
*
Yes
No
Are you currently enrolled in another Summer Reading Program?
*
Yes
No
Which Reading Program have you also enrolled in?
Your answer
What is your summer reading goal? (in hours)
*
Your answer
How did you hear about our Summer Reading program?
*
Choose
Someone from the library visited our school.
Family/Friends
Heard about it during a visit to the library.
Library website
Social Media
Library Sign
Someone from the library visited our daycare.
Park News
Other local newspaper
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