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Order Form Gattis-Logan County Public Library (GLCPL) Summer Reading Registration
We will be hosting indoor and outdoor programs and events full of colors and fun!
By filling out this registration form, you will receive a starter pack to kick off a great summer of reading!
*Please register each person/child separately
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Your name
*
Your answer
Age:
*
Your answer
Address:
*
Your answer
Phone Number:
*
Your answer
Email
*
Your answer
Please select the grade of the child or yourself
*
K-3
4-6
7-12
13-18
School:
*
Your answer
Preferred Language
*
English
Spanish
Other:
Required
General Release:
By adding my initials below as guardian for the participant of our summer reading program you acknowledge that the participation in this program may expose the participant to the possibility of personal injury. You, being fully aware that participation exposes the participant to a possible risk of personal injury, herby release Logan County Public Library and it's employees from any and all liability from property damage, personal injuries, or other claims arising from or in connection with participation in the program.
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