Teen Reading Lounge Sign Up
Please complete this registration form. This information is only collected once and provides information about the participants as an overall group to help Teen Reading Lounge make programs better and more relevant for all young people who attend. NO INDIVIDUAL INFORMATION IS SHARED. Thank you very much for providing the following information about yourself!
Name: *
Your answer
Email (Optional):
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School Type: *
Date of Birth: *
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Grade, or if summer, grade just completed: *
Your answer
Home Zip Code: *
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Gender, how do you identify: *
Race / Ethnicity (Please select all that apply): *
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