Summer Reading 2022 Registration
Complete the form below to register for Summer Reading.

If you register online please stop by the Library to pick-up your Summer Reading packet.

If you have any questions please call 815-784-2627 or stop by the Genoa Public Library.
Sign in to Google to save your progress. Learn more
Today's Date *
MM
/
DD
/
YYYY
How did you register? *
Adult 1 First & Last Name *
Contact information (Phone Number and/or email address) *
Preferred Method of Contact *
Age Group *
Adult 2:First & Last Name
Adult 2: Age Group
Clear selection
Child 1: First & Last Name
Child 1: Age Group
Clear selection
Child 2: First & Last Name
Child 2: Age Group
Clear selection
Child 3: First & Last Name
Child 3: Age Group
Clear selection
Child 4: First & Last Name
Child 4: Age Group
Clear selection
Child 5: First & Last Name
Child 5: Age Group
Clear selection
Child 6: First & Last Name
Child 6: Age Group
Clear selection
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