Children's Department
Summer Reading Program
Reading Form Submission Page

Welcome to our Online Reading Form Submission! Simply fill out the form below, and your prize will be waiting for you the next time you visit the Children's Department! Remember, you earn prizes for the first three forms submitted, and your name is entered into our Grand Prize Drawings for each form you enter. Be sure to click the button at the bottom when you are finished.

Please fill out all fields. This information is necessary for our records. Should the child win one of our grand prize drawings, we will contact you using this information.

 Child's Name (First & Last):  
Please select the grade most recently completed:
Kindergarten
Beginning Readers 1st
2nd
3rd
In-Betweeners 4th
5th
Or: Lap Reader
Phone Number:
Address:
Street:
City, State, ZIP:
Which form are you submitting?
Grades K-3:
1st (Coral)
2nd (Green)
3rd (Orange)
4th and up
      (Pink)		 Or:
Lap Reader
      Form
In-Be-Tween
      Form
Grades K-3: Please list the titles of 10 books read by the child on each form.

In-Be-Tweeners should submit one list of 10 books.

Lap Readers: Please list the titles of books read. Lap Reader Forms may be submitted as often as necessary.

If this is your first, second, or third form submitted, or if you are an In-Be-Tweener or Lap Reader, you may pick up your prize at the Children's Department.
If you have already submitted three or more forms (or if you are an In-Be-Tweener and have already submitted one form), you will continue to have your name added to grand prize drawings for each additional form you submit. So keep on reading!

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