2021 Reading Challenge
complete the challenge for the month!
* Required
Email address
*
Your email
Choose the month
Choose
January
February
March
April
May
June
July
August
September
October
November
December
First name
Your answer
Last name
Your answer
Phone number
Your answer
Book title
Your answer
Author
Your answer
Did you like this book?
Yes
No
Other:
Clear selection
Would you recommend the book to others?
Yes
No
Other:
Clear selection
Send me a copy of my responses.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Stanton County Public Library.
Report Abuse
Forms
