JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Young Reviewer Registration Form
Young Reviewers Program, Children's Book Committee, Bank Street College of Education Library
Email:
youngreviewers@bankstreet.edu
FB & IG: @BankStreetLibrary Twitter: @BankStreetLib
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Today's Date
*
MM
/
DD
/
YYYY
Child's Full Name (First and Last)
*
Your answer
Child'
Preferred First Name
Your answer
Affirming Gender Pronoun(s)
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Name of School
*
Your answer
Grade
*
Your answer
Mailing Address
*
Your answer
Primary Email Communication (Unfortunately we are unable to accept student school email addresses)
*
Your answer
Identify owner of primary email with first and last name and relationship (parent, school, librarian, child, student, etc.) to Young Reviewer.
*
Your answer
Secondary Email Communication: (identify parent, school, librarian, student, etc)
Your answer
Identify owner of secondary email with first and last name and relationship (parent, school, librarian, child, student, etc.) to Young Reviewer.
Your answer
What are your favorite authors/illustrators? Do you have any all-time favorite books? Are you currently reading anything?
*
Your answer
What categories of literature do you like to read? (choose as many as you want)
*
Fiction
Nonfiction/Informational
Poetry
Required
What genres do you like to read? (choose as many as you want)
*
Activities
Adventure & Mystery
Animals
Biography
Concept
Contemporary Issues
Ecology
Fantasy
Graphic Novels
Holidays
Family/School/Community
Folklore & Fairy Tales
History
Historical Fiction
Humor
Manga
Science Fiction
Sports
STEM (Science, Technology, Engineering, Math)
Other:
Required
Do you have a connection to the Bank Street Children's Book Committee?
Your answer
Parent Initials for permission to allow Bank Street College of Education Children's Book Committee to use child's first name, age, hometown, and review for publications and press announcements. (Contact the YR Committee at
youngreviewers@bankstreet.edu
with questions or concerns.)
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Bank Street College of Education.
Report Abuse
Forms