Congressman Pat Ryan’s 2025 Summer Reading Challenge Submission Form

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Thank you for participating in Congressman Pat Ryan’s 2025 Summer Reading Challenge! Students entering grades K–8 in New York’s 18th Congressional District who read 5 or more books between July 1 and August 31 will receive a Congressional Certificate of Achievement.

Please complete this form by August 31, 2025 to receive your certificate.

Student First Name *

Student Last Name *

Grade (Entering Fall 2025) *

School Name *

Parent/Guardian Full Name

Parent/Guardian Email Address *

Mailing Address for Certificate *

List the 5 Books You Read This Summer

Example format:
Charlotte’s Web by E.B. White

Permission to Share

I give permission for Congressman Ryan’s office to share my child’s first name, grade, and book list in newsletters or social media.

I give permission to share the uploaded photo on social media (if provided).

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