Book Club Registration
Event Timing: September 2020 - February 2020
Event Address: Virtual Event Offered through Porter Memorial Library and Peabody Memorial Library
Contact us at (207) 255-3933 or
Please fill out this registration form for each youth participant who wishes to participate in the Tween Bicentennial Book Club. This program is free and open to any Washington County Resident between the ages of 8 and 13.
* The youth lives in Washington County, Maine.
* The youth is interested in reading and discussing seven middle grade books set in Maine.
* The youth plans to attend the majority of online book club meetings.
Please email or call (contact info above) if you have trouble with this form or have questions. All information on this form is private and will be used only by the librarians running the program.
Please register by September 1, 2020.
Full Name of Middle Grade Participant
Age of Middle Grade Participant
School Situation (helps us understand the population we are serving and the type of schooling obligations of the participant)
Youth participant attends public school.
Youth participant attends private school.
Youth participant is home-schooled.
Home Town of Participant in Maine
Name(s) of Parent / Caregiver
Days of the Week That Will Work for You for Our Once-a-Month Virtual Book Club Meeting
Days of the Week that will NOT work for you for our Once-a-Month Book Club Meetings
Time That Will Work Best for You for Our Once-a-Month Virtual Book Club Meeting
Please describe the reading level and interest in reading of the youth participant.
Internet Access: Wireless Partners LLC is offering free internet services for any family whose youth would like to participate in this program. Please let us know if you would like to take advantage of this offer.
Yes, we would like to take advantage of the offer of free internet services. Please contact us to get internet set up in our home.
No, we do not wish to use the free internet service offer. We already have internet set up in our home.
I understand that our family will be checking out seven books for the program, and that we will be responsible for returning these books at the end of the program.
Please note any questions or concerns you have about the program.
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