Summer Reading Program
*
indicates required
Name:
Email:
Comment:
Participant First Name
*
Participant Last Name
*
Email Address
*
Phone Number
*
(
)
-
Number of Kids Registering
Required in case parent is registering multiple kids
Name of Kid(s)
Mention name of kids separated by comma
Age Groups
3-8 years
9-12 years
13-17 years
18+ years
Consent
I agree to the participation terms for program
