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Southworth Library Summer Reading Challenge
This form is for the Summer Reading Challenge registration. Please fill out a form for each child who will be participating
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Last Name of Participant
*
Your answer
First Name
*
Your answer
Age
*
Your answer
Name of Caregiver (last, first)
*
Your answer
Email address
*
Your answer
Phone number
Your answer
Are you interested in getting more information about our Summer Kids Clubs?
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