2023 Book Club Application 
Please fill out this Form to join our Summer Book Club for the "Super Powered" Book about Anxiety.  This is a FREE program and will be done virtually with the Discord App (can be done on a phone, tablet or computer) 
Sign in to Google to save your progress. Learn more
Email *
Name of Child *
Age of Child *
Last school they attended and grade completed *
Does your child have a Discord account?
If no, give instructions at the book pick up on how to join the group/download the APP. 
*
If yes, please provide your child's username, with the numbers that follow the name. We will send an invite to join the Book Club.  
Gwen's username is: pixiedust#3301
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Amazing Grace Advocacy. Report Abuse