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Summer Reading Children's Book Log Form
Please fill out the form below to log your book and select which basket you'll put your raffle ticket into!
Each participant will earn one prize per book read (Book #1-5).
Toddlers will receive a prize for 25 books total read to them.
ALL prizes are to be picked up in the Children's room.
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Email
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
Age
*
Your answer
Phone Number
*
Your answer
Book Title
*
Your answer
Author
*
Your answer
What did you think of this book?
*
The best book EVER!
I liked it!
It was okay.
I didn't like it very much.
Which book # are you submitting this form for order to win a prize?
*
Book #1
Book #2
Book #3
Book #4
Book #5
Toddler Prize (25 Books)
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Cutchogue New Suffolk Free Library.
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