1000 Books Before Kindergarten Registration Form
An early literacy program for pre-kindergarten children. (Ages: birth up to kindergarten)
Child's Last Name
Child's First Name
Age at time of sign-up.
0 to 6 months
6 to 12 months
12 to 24 months
2 to 3 years
4 to 6 years
street, city, state, zipcode
Guardian/Parent Full Name
first & last name
Guardian/Parent phone number -- Example: 765-123-9876
Has the child received the beginner package?
(This may be marked yes if you personally give them the package after getting them registered.)
MRL Validation Code
What is the override code used in the library catalog system?
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