Southwick Public Library Teen Winter Reading Response Form
Please enter the information below to have your name put in the raffle boxes for each prize. Participants can enter a maximum of five hours per week. Prizes will be drawn at the end of the program! Last day to submit hours is January 13.
What is your name? *
Your answer
What is your phone number? (So we can call you if you win!) *
Your answer
Number of hours you read: *
Your answer
What book did you read? *
Your answer
Please tell us which prize box you want your entries submitted into (you get 1 entry for every hour you have read): *
Prizes include two Agawam CInemas movie passes, a $15 Amazon gift card, and a Mystery Prize!
Your answer
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