1000 Books Before Kindergarten Registration Form
An early literacy program for pre-kindergarten children. (Ages: birth up to kindergarten)
* Required
Child's Last Name
*
Your answer
Child's First Name
*
Your answer
Child's Birthday
*
Example: 08/02/2009
Your answer
Email
Example:
joh88@hothoo.com
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.)
Yes
No
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
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