Birthday Book Club Information
Information for Birthday Book Club Membership
Student First and Last Name *
Your answer
Parent Full Name *
Your answer
Parent E-mail *
Your answer
Homeroom Teacher *
Your answer
Grade Level *
Student birthday *
MM
/
DD
/
YYYY
Title of Book Ordered for Child *
Your answer
I give permission for my child's photo to appear on the blog, morning announcements and possibly school webpage. Photo will be accompanied with first name only. *
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