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Older Book Buddy Registration Summer 2023
We are excited to welcome back the Book Buddy program! To sign up, please submit the following form.
This form is for Older Buddies in Grades 6-12.
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Email (Please do not use @
jerichoapps.org
email addresses)
*
Your answer
First Name
*
Your answer
Last Name
*
Your answer
Address
*
Your answer
Cell Phone number
*
Your answer
Grade
*
Your answer
Time Slots will be as follows:
Mornings between 9AM-12PM
Afternoons between 12PM-4PM
Evenings between 4PM-7PM
Preferred Time Slot (Please Check 3)
*
Monday Mornings
Monday Afternoons
Monday Evenings
Tuesday Mornings
Tuesday Afternoons
Tuesday Evenings
Wednesday Mornings
Wednesday Afternoons
Wednesday Evenings
Thursday Mornings
Thursday Afternoons
Thursday Evenings
Friday Mornings
Friday Afternoons
Friday Evenings (Close at 6PM)
Saturday Mornings
Saturday Afternoons
Required
Notes for a specific time request (ex. 5pm)
Your answer
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