Summer Reading 2020 Registration Form
Summer Reading Registration
Participant's First & Last Name (One participant per registration - please complete an additional registration "form" for each additional participant - thanks!) *
Your answer
Street Address *
Your answer
City, State, Zip *
Your answer
Grade going into this fall *
Emergency Contact Info for Minors-First & Last Name & Phone # (if registering an adult, indicate N/A) *
Your answer
Permission for minor's name/likeness to be used in media (no compensation is offered for use of likeness) *
By entering my name below, I agree that I am registering myself or a minor child for whom I am responsible in the Valley Center Public Library Summer Reading Program. *
Your answer
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