KPL Adult Summer Reading Program Log
Fill out this form after reading books or completing Library activities July 1st through August 15. Fill out a new form for each entry, or use the same form for multiple entries. Each book read or activity completed counts as an entry to win. Turn in at least 1 entry per week to be entered to win a weekly prize-these consist of books & Library swag! Remember to choose which grand prizes you would like your entries to go toward. Contact Merissa with questions at
Participant's First & Last Name
Participant's Phone Number (to contact you if you win a prize!)
What town do you live in?
Book Title and Author (You can add multiple books on one form if you'd like!)
Library Activities Completed:
Picked up a Take N Make Craft (Available July 1 & August 5 while supplies last)
Watched a movie on Kanopy
Check out a cake pan and make a fun cake
Checked out and played a game from our new Game Collection
Watched a new Gardening Video on Facebook
Library Events Attended
Attended the 'Mark Twain Zephyr' Book Talk
Took a tour of, or helped out at the Library Garden
Attended the 'Beyond Water: Cultivating Reverence for Big Rivers' presentation
Grand Prizes are listed below. Please check all prizes that you are interested in.
$100 gift certificate to Cahill Pribyl Jewelry & Gifts
$50 gift certificate to Simply Home
$50 gift certificate to Willy Style Detailing
$50 Gift Certificate to Santana's Mexican Restaurant
$25 gift certificate to Stan’s Bakery
$25 gift certificate to Arrowhead Bowl
$25 gift certificate to Puck-E-She-Tuck Emporium
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