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Adult Summer Reading Submission Form
Please fill out a form for each book you have read.
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Today's Date
MM
/
DD
/
YYYY
Your name
*
Your answer
Email address
or
phone number
(The best way to reach you if you win a prize!)
*
Your answer
Title of book
*
Your answer
Author of book
*
Your answer
Book rating
(1 is the worst, 5 is the best)
1
2
3
4
5
Clear selection
Book review
(optional)
Your answer
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