1000 Books Before Kindergarten Registration Form
An early literacy program for pre-kindergarten children. (Ages: birth up to kindergarten)
Child's Last Name *
Your answer
Child's First Name *
Your answer
Child's Birthday *
Example: 08/02/2009
Your answer
Email
Your answer
Guardian/Parent Full Name *
first & last name
Your answer
Phone Number *
Guardian/Parent phone number -- Example: 765-123-9876
Your answer
Has the child received the beginner package? *
(This may be marked yes if you personally give them the package after getting them registered.)
Required
Date Registered *
Example: 08/11/12
Your answer
MRL Validation Code *
What is the override code used in the library catalog system?
Your answer
Submit
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