Build a Better World: Summer Reading Program 2017
Register for the River Falls Public Library Summer Reading Program
First Name of Participant
Last Name of Participant
Age of Participant
School of Participant (as of Fall 2017)
If student is not yet in school, please skip this question
Rocky Branch Elementary
River Falls Public Montessori
Meyer Middle School
River Falls High School
Hudson School District
Grade of Participant as of Fall 2017
Please select grade student will be entering in the fall
Participant is not yet in school!
Parent/Guardian Phone Number
Email will never be shared with any third party and will only be used for library programming and information purposes
Permission to Video/Photograph
*I give permission for my son/daughter to be photographed or videoed during an event for the Summer Reading Program at the River Falls Public Library and to use photographs or video of my child for the purpose of promoting the Library and its services and programs.
I give permission
I do NOT give permission
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