School Age Summer Reading 2019
Summer Reading Sign up for school age students (grades K-5)
Email address *
Child's Name *
First & Last
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Parent/Guardian Name *
Your answer
School *
Grade *
Is this your first time participating in the Summer Reading Program at the Booth & Dimock Memorial Library? *
Do you give consent to share your child's reading log with their school? (only applicable to Coventry Public Schools) *
A copy of your responses will be emailed to the address you provided.
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