Participant Registration Form
To ensure a safe and enjoyable experience for all involved, the 2020 Summer Reading Program is Going Online!! We will use the information collected here to communicate everything you need to know about registering for live and recorded events, picking up books and craft kits and receiving supporting documents.

This form needs to be submitted by a parent or legal guardian and can be used for up to three participants. Please fill out a separate forms as needed for additional children. We look forward to a FANTASTIC Summer Reading Program that encourages each child to explore new realms and to Imagine Their Story!!
Clatskanie Library Summer Reading Program 2020
Child's First and Last Name and Date of Birth *
Child's Name and Date of Birth
Child's Name and Date of Birth
First and Last Name of Parent or Guardian *
Parent or Guardian Email *
We will use this to send registration links, supporting documents and information about each program.
Parent or Guardian Phone Number *
Please indicate if Home or Cell
Alternate Phone Number
Please indicate if Home or Cell, and name of account holder if not the person filling out this form.
Mailing Address *
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