Reading Buddies Application
Children entering grades 1-4 may participate in KPL's Summer Reading Buddies program. Younger children are paired with teen volunteers for one-on-one reading time over eight-weekly sessions throughout the summer. We ask that participants miss no more than two sessions to get the most out of the experience. We make every attempt to accommodate every child but space is limited.

Reading Buddies: Mondays, June 10-July 29, 2019. Please choose one session.
Session 1: 1:45-2:30 pm
Session 2: 2:45-3:30 pm

Last Day for sign-up Tuesday, May 28, 2019.

Questions? Contact Chelsea Bedley, cbedley@kirkwoodpubliclibrary.org or call 314-821-5770, ext 1015.

Child's Name *
Your answer
Gender of your child *
Required
Entering Grade *
Tell us the grade your child will enter in the fall.
Your answer
School child will attend
Your answer
Book titles your child has read *
Tell us a few titles of books your child has recently read.
Your answer
Books your child enjoys *
Tell us the titles of books your child enjoyed either reading independently or as a read aloud.
Your answer
Subjects or topics that interest your child *
Your answer
My child is *
Required
Name of parent or guardian *
Your answer
Your home address *
Your answer
Email address we may use to contact you. Email will be used for contact only about this program.
Your answer
Phone number we may use to contact you about this program only *
Your answer
Sign up for Session 1 or 2 *
Choose one of the two times listed
Required
Please check the program dates your child will be unable to attend. This helps us when pairing your child with their Big Buddy. To participate in the program, we ask that little buddies have no more than two scheduled absences.
By submitting this form I consent for my child to participate in KPL's Reading Buddies Program. Parents/guardians must remain in the library while their child is attending the Reading Buddies program. *
Required
Next
Never submit passwords through Google Forms.
This form was created inside of Kirkwood Public Library. Report Abuse - Terms of Service