Banned Book Club 2023
2023 Program by GrassRoots Community Foundation. Fill out the information below for the youth applying to participate.
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First Name *
Last Name *
Age *
Race *
Ethnicity
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County of Birth *
Current grade
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Favorite book (title and author)
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Last book read
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What did you like about the book?
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What would you change about the story if you could?
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Why do you want to join this group?
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Primary caregiver's name (first and last name)
*
Phone number (Caregiver)
*
Social media handle (Caregiver)
Why do you want your child to join this group?
*
By agreeing to participate in this program you are allowing us to share you and your child’s image with our supporters via newsletter, in our reports and on social media.
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Submit
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This form was created inside of GrassROOTS Community Foundation.