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Island Creek Birthday Book Donation Form
Please fill out the form below if you are donating a book to the Island Creek Library in honor of your student's birthday.
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* Indicates required question
Student Name
*
Your answer
Student Grade
*
Choose
PK
K
1
2
3
4
5
6
Teacher
*
Your answer
Student birthdate
*
MM
/
DD
/
YYYY
Title of book to be donated
*
Your answer
Does the book come from the Island Creek Birthday Book wish list on Amazon?
*
Yes
No
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.
Your answer
Birthday Bookplate Example
Family/Individual Name for bookplate ("This book is a gift generously donated to the Island Creek Library by ________________________")
*
Your answer
Birthday child's name ("in honor of __________'s")
*
Your answer
Student's age in years
*
Your answer
Alternate or other bookplate text [OPTIONAL]:
Your answer
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 answer
Your email address
*
Your answer
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