Lettuce Pick
You must have a valid Library card to use this service.

Staff will select up to 3 items for you from the Leavenworth Public Library based on the information provided in this form.

Library staff will contact you by phone when your order is ready.


After completing each question press tab key. Questions with a red asterisk (*) require a response.
Sign in to Google to save your progress. Learn more
First Name of Cardholder *
Last Name of Cardholder *
Date of Birth of Cardholder *
If necessary, include 0 in single-digit birth month or day. Example: for birth date of May 4 use 05 for month, 04 for day. If cursor does not automatically move to the next part of birth date, use the tab key.
MM
/
DD
/
YYYY
Phone Number of Cardholder *
Enter with dashes, example 913-682-5666.
Briefly Describe Genre or Subject of Interest
Authors or Titles You Enjoy
Fiction or Non-Fiction *
Audience
*
Required
Age of Child or Young Adult
If Let Us Pick material is for a child or young adult it is helpful to know their age or comprehension level.
Format *
Check all that apply
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy