Summer Reading Registration
June 4 - July 21, 2018
118 E Topeka | Whitewater, KS | 67154
Contact us at (316) 799-2471 or whitelib@sbcglobal.net
Please fill out 1 registration per person. To start a new registration, click SUBMIT when finished and then refresh the page.
Name *
Your answer
Parent's Name (if under 18)
Your answer
Phone Number *
Your answer
Age (scroll down to choose prize) *
Required
YOUTH Prize Choice
T-Shirt Size
Your answer
TEEN Prize Choice
T-Shirt Size
Your answer
ADULT Prize Choice
T-Shirt Size
Your answer
Reading logs and materials may be picked up at the library beginning June 4. You may begin reading on June 4!
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms