Summer Reading Program Registration 2019
Hesston Public Library
300 N. Main | Hesston, KS 67062
620.327.4666
www.hesstonpubliclibrary.com
Email address *
Your answer
Participant Last Name *
Your answer
Participant First Name *
Your answer
Parent or Guardian *
Enter "self" if registering an adult
Your answer
Phone number *
Your answer
Mailing Address *
Please enter your complete mailing address including Zip Code
Your answer
Participant's Reading Group *
Required
Participant's Age *
(enter "adult" if over age 18)
Your answer
Grade just completed, if in school
Your answer
Have you participated in a Summer Reading Program before? *
Snack may be served at events. Does the participant have any food allergies? *
If "Yes" was checked, what allergies should Library Staff be aware of?
Your answer
May we use your image in public social media posts, newspaper articles, etc? *
Anything else we need to know?
Your answer
Thank You!
Please stop by the library to pick up program information and your first Reading Ticket beginning May 20th!

We have LOTS of activities planned. For more information, visit www.hesstonpubliclibrary.com

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