January Tween/Teen Takeout Bag
Tell us which genres the tween/teen is interested in and we'll surprise them with 3 library books checked out to them, paired with a monthly craft/activities. Return the library books, but keep the craft and activities or extra goodies! This month's craft is to decorate a water bottle. You'll be provided with everything you need to make the crafts.
Local residents may apply. Priority registration is open to Middletown residents until January 15th. Non-Middletown residents will be placed on a waiting list and will be contacted if bags are still available in the order that the request was received. After the registration deadline, we may distribute them on a first-come, first serve basis regardless of residency. Limit of 1 per family; additional tweens/teens in the family may apply to be placed on the waiting list if supplies are available. Supplies are limited; book checkout is required to receive the craft. Contact information given will be used to arrange pickup of the take-out bag. Residency is determined by the address used in the library card given.
* Required
Email address
*
Your email
First Name and Last Name of Card Holder
*
Your answer
Library Card Number to check out to
*
Your answer
Name of Tween/Teen
*
Your answer
Grade
*
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Phone Number (with area code)
*
Your answer
Reading Genres interested in
*
Adventure
Dystopian
Fantasy
Funny
Graphic Novels
Historical Fiction
Mystery
Realistic Fiction
Romance (teens)
Scary
Science Fiction
Sports
Other:
Required
Are there any books or authors that you've enjoyed?
Your answer
Any types of books we should avoid?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms