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"A Universe of Stories" Registration (Grades 6-12)
2019 Teen Summer Reading Program Registration
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Primary Phone
*
Your answer
E-Mail
Your answer
Can we e-mail you about future library programs?
Yes
No
Clear selection
Gender
Boy
Girl
Clear selection
Grade (that you will be entering in the Fall)
*
6th
7th
8th
9th
10th
11th
12th
School (that you will be entering in the Fall)
*
South Park Middle School
South Park High School
Homeschool/Cyberschool
Other Allegheny County school
Washington County School
Out of State
Have you ever joined our Summer Reading Program before?
*
Yes
No
Are you currently enrolled in another library Summer Reading program?
*
Yes
No
Which Summer Reading Program have you also enrolled in?
Your answer
What is your Summer Reading goal? (in hours)
Your answer
How did you hear about the Summer Reading program?
*
Someone from the library attended our school.
Friends/Family
E-mail from library
Heard about it during a visit to the library.
Library website
Social Media
Library Sign
Park News
Other local newspaper
Other:
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