Teen Reading Club Member Form

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Please submit a finished form to Centralia Regional Library District’s Youth Staff if you’d like to be a member of our Teen Reading Club at any time this year.

Meetings are one Saturday a month and will include snacks and activities. There is no required reading but there will be suggested reading if you would like some guidance. Your reading does not need to be a book!

First Name
*

Last Name
*

Phone Number (include Area Code; can be your caretaker's)
*

Email Address (if you don't have one, type "N/A")
*

Favorite Genre(s)

Favorite Snack(s)

Food Allergies
*

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