Monthly Sign-Up Form
Hello! Please fill out this form to register for a personalized Teen Book Box.

You must register by the 15th of the month to receive a box. If you register after the 15th, you will be added to the list for the following month.

You can also register in person at the Teen Desk during times when the building is open to the public.

If you have any questions, please feel free to contact Christina Kelley at ckelley@mybcpl.org or visit us at www.mybcpl.org/teens.
First Name *
Last Name *
Pronouns (check all that apply) *
Required
Library Card # 2217300 __ __ __ __ __ __ __ *
Phone Number __ __ __ - __ __ __ - __ __ __ __ *
Age *
Grade *
Please list any food allergies or dietary preferences:
List three books that you love: *
What do you love in a book?
What do you not enjoy reading about?
Anything else you want us to consider?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy