Island Creek Birthday Book Donation Form

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Please fill out the form below if you are donating a book to the Island Creek Library in honor of your student's birthday.

Student Name *

Student Grade *

Teacher *

Student birthdate *

YYYY

Title of book to be donated *

Does the book come from the Island Creek Birthday Book wish list on Amazon? *

Yes

If no, please email Ms. Keaney at mkeaney@fcps.edu to see if the library can accept the donation. If the library is unable to accept the donation, your child's teacher may be interested in a donation to his/her classroom library.

Birthday Bookplate Example

Family/Individual Name for bookplate ("This book is a gift generously donated to the Island Creek Library by ________________________") *

Birthday child's name ("in honor of __________'s") *

Student's age in years *

Alternate or other bookplate text [OPTIONAL]:

If ordering the book directly through the Amazon wish list for delivery, please include your student name and your student's teacher name on the Amazon gift receipt so Ms. Keaney will know for whom the book is donated.

I understand

N/A

Clear selection

If purchasing the book from another source, please be sure your student submits the book to the library with an note with his/her name and teacher. If you email Ms. Keaney at mkeaney@fcps.edu, she will know to expect the book.

I understand

N/A

Clear selection

Your name *

Your email address *

Submit

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