Free Home Library Registration Form
Please complete this form if you are interested in receiving a Free Home Library for your child(ren). 
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Parent's First Name *
Parent's Last Name *
Parent/Guardian Phone Number *
Parent/Guardian Email *
Parent/Guardian's Primary Language *
Child(ren)'s Ages *
Child(ren)'s Grade Level *
Child(ren)'s Gender(s) *
Child(ren)'s Primary Reading Language *
What is your family's income level? *
Any subjects or topics that your child(ren) is/are excited about? *
Consent
By completing this form, you consent to being contacted by South Baldwin Literacy Council via email and/or phone. You can opt-out at any time by clicking "unsubscribe" at the bottom of any email or by replying STOP, QUIT, CANCEL, OPT-OUT, and/or UNSUBSCRIBE to any mobile message from us.
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