Membership Form

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Membership Form

If you are entering grades 6-12 in September, indulge in a harmonious reading adventure! Join our Teen Summer Reading Club and experience a summer of gratifying reads, distinctive activities, synergistic prizes, and compelling raffles!

After completing your Membership Form, you will be able to pick up your complementary Registration Trapper Keeper at our Adult Reference Desk.

Name (include both your first and last name) *

Home Address
*

Town *

Amityville

East Massapequa

Phone Number *

Email Address

School (beginning September 2023) *

Grade (beginning September 2023)
*

Received Registration Trapper Keeper
*

Yes

Submit

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