School Age Summer Reading 2019

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Summer Reading Sign up for school age students (grades K-5)

Email *

Child's Name *

First & Last

Date of Birth *

YYYY

Parent/Guardian Name *

School *

Grade *

Is this your first time participating in the Summer Reading Program at the Booth & Dimock Memorial Library? *

Yes

Unsure

Do you give consent to share your child's reading log with their school? (only applicable to Coventry Public Schools) *

Yes

Not Applicable

A copy of your responses will be emailed to the address you provided.

Submit

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