Yes, I want to participate in the 2018-2019 Birthday Book Program!
If you are interested in donating a book in honor of your child's or children's birthday, fill in the form below and click "submit" when you are done. Please fill out the same form MULTIPLE TIMES if you would like to donate more than one book based on the number of children attending Peterson and participating. Checks should be written out to Peterson Elementary School and can be sent to school via your child's backpack in a marked envelope "LMC BIRTHDAY BOOK CLUB." Please click submit at the bottom of the form to make sure I get the information. Thank you.
Child's Name *
Please use the name you would like to appear on the bookplate.
Your answer
What month was the child listed above born in? *
What DAY of the month was the child above born on? *
Example: 1st, 2nd, 10th?
Your answer
How OLD will the child above be on this date? *
Please select your child's classroom teacher from the list below. *
Parent Name(s) *
Your answer
Email address to contact you with: *
Your answer
Method of Payment for the book *
Please send in payment of $16.00 to PETERSON ELEMENTARY SCHOOL upon completion of this form. (Please note: Cash cannot be accepted. Also, any returned checks will result in an additional $12.00 fee.) Thank you for supporting literacy @ Peterson Elementary School!
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