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 *
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County of Birth *
Current grade
Favorite book (title and author)
Last book read
What did you like about the book?
What would you change about the story if you could?
Why do you want to join this group?
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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This form was created inside of GrassROOTS Community Foundation.