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Summer Reading Program Registration Form
Fill this out if you're interested in attending any Summer Reading activities this summer!
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* Indicates required question
Email
*
Your email
Name of parent/guardian:
*
Your answer
Phone number of parent/guardian:
*
Your answer
Name(s) of student(s) to participate in program:
*
Your answer
Grade(s) student(s) will be in next school year:
*
Your answer
Activities you plan to participate in (this is just to help us plan numbers and doesn't lock you into anything)
*
Reading Challenges
Story Hour
Enchantment Academy
Merriment
Fantasy Guild
Reading at your own pace and coming to the library whenever you want!!
Other:
Required
You don't need a library card to participate in Summer Reading Program.
Do you have a library card?
*
I have a library card.
I do not have a library card, but I want to sign up for one.
I don't have a library card, but I want to participate knowing I can't check out books.
Other:
Thank you! For more info and to find the weekly Summer Reading Calendar, check out our website:
https://www.petersburgpubliclibraryil.org/
A copy of your responses will be emailed to the address you provided.
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