Adult & Teens Summer Reading Sign-Up Sheet and Participation Log
Name
Your answer
Library Card Number
The number is on the back of your West Lafayette Public Library card.
Your answer
Phone
xxx-xxx-xxxx
Your answer
Email address
Your answer
Age
I am:
Please indicate blow whether you are signing up or adding a participation entry.
Please enter the book title, program title, place you volunteered, or indicate you read to a child below.
Please only enter one item at a time. Multiple items entered here will only count as one entry. Ignore this section if you are just signing up.
Your answer
You will be entered into a drawing when you sign up. Please choose your prize preference.
* Entering is no guarantee of winning. Odds of winning will depend on number of entries.
Prize preference (Adults)
Prize preference (Teens)
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