Millstadt Library Summer Reading and Activity Program 2021 Daily Adult Reading Log
Complete this reading log to participate in the 2020 Summer Reading and Activity Program! Every book (250 pages) completed adds another ticket with your name to the raffle for prizes each week -AND- at the end of Summer Reading!

INSTRUCTIONS: At the end of the day, just tally up and submit your response - That's all! We will count all the books at the end of each week (Saturday), and submit the appropriate number of tickets to the grand prizes for each participant. Remember, you don't have to have a library card to participate - this is open to everyone!

**Don't like the idea of using a Google Form? Go back to our website to access our downloadable PDF (to edit on the computer or print off yourself), or stop by the library to pick up a physical copy and say hi! **
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Your Name (First and Last Name) *
Phone number (So we can call you if you win!)
Today's Date *
MM
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DD
/
YYYY
What is the title of the book you are reading? *
What is the author of the book you are reading? *
How many pages did you read today? *
Did you participate in any qualifying activities?
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