Build a Better World: Summer Reading Program 2017
Register for the River Falls Public Library Summer Reading Program
Birth-12th Grade
First Name of Participant
Your answer
Last Name of Participant
Your answer
Age of Participant
Your answer
School of Participant (as of Fall 2017)
If student is not yet in school, please skip this question
Grade of Participant as of Fall 2017
Please select grade student will be entering in the fall
Parent/Guardian Name
Your answer
Parent/Guardian Phone Number
Your answer
Parent/Guardian Email
Email will never be shared with any third party and will only be used for library programming and information purposes
Your answer
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.
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