JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Birthday Book Club
Donate a new book to the Lower School Library in honor of your child for his or her birthday! Your child will select a book to add to the Lower School Library's collection and be the first patron to check out that book. A bookplate will be placed with your child's name, birthday, and donor's name.
Complete the form below and follow this link
Birthday Book Club Payment
to pay the donation amount of $15.
If you have any questions, please contact Lynn Watson at lwatson@jacksonacademy.org.
Thank you for supporting our Lower School readers!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student's Name
*
Your answer
Birthday
*
Your answer
Donor's Name(s) *
Please list name(s) exactly how you would like to appear on the bookplate.
*
Your answer
Homeroom Teacher
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Jackson Academy.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report