Teen & Adult Reading Log
Fill in the dates of the 5 different days that you read for at least 15 minutes. You must submit 8 reading logs to complete the reading program. This program is about reading daily and developing good reading habits.
Full Name *
First and Last Name
Your answer
1. What day did you read for at least 15 minutes? *
Enter each date only one time.
MM
/
DD
/
YYYY
2. What day did you read for at least 15 minutes? *
Enter each date only one time.
MM
/
DD
/
YYYY
3. What day did you read for at least 15 minutes? *
Enter each date only one time.
MM
/
DD
/
YYYY
4. What day did you read for at least 15 minutes? *
Enter each date only one time.
MM
/
DD
/
YYYY
5. What day did you read for at least 15 minutes? *
Enter each date only one time.
MM
/
DD
/
YYYY
Select one prize to be entered into a chance to win. *
Submit
Never submit passwords through Google Forms.
This form was created inside of Bethalto Public Library District. Report Abuse - Terms of Service