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:
Library Events Attended
Grand Prizes are listed below. Please check all prizes that you are interested in.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy