Virtual Book Club Information Gathering - Kansas - PBS Kansas
We are excited to have you join us in our Virtual Book Club, where we will explore the book Insignificant Events in the Life of a Cactus by Dusti Bowling.
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Name *
Email *
Birthday  *
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Age *
Street Number *
Name of Street *
Apartment or Suite Number
Town name *
State *
Zip Code *
Phone number - include area code *
What format would you like to use when reading Insignificant Events in the Life of a Cactus? *
What would you like to get out of participating in a virtual book club? *
Do we have your permission to record our sessions when we meet on Zoom virtually? *
You will need to use an electronic device to participate in book club with a camera and microphone to access Zoom. What type of device will you be using to participate? *
If you don't have an iPad, would you like to borrow one from PBS Kansas?  (You will not be responsible for any shipping charges.)
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I agree and will be held liable for any major damages to the iPad occurred during my possession of the loaned device and will return it back as received to PBS Kansas within 1 week of conclusion of the program. (checking yes serves as my signature of agreement)
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