2021 Adult Summer Reading Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Register for the 2021 Nesmith Library Adult Summer Reading Program! Registration opens on June 21, and continues throughout the summer. Adults (ages 16 & up) who are Nesmith Library patrons can participate by reading library materials and attending our programs to earn raffle tickets for our prize drawings! Email Adult Programming Librarian Maria at mschroeter@nesmithlibrary.org at any time with your questions or comments!

Ask for a raffle ticket at our Circulation Desk this summer when you:
- return library books or audiobooks that you have read
- attend Nesmith Library adult programs & events
Fill out your name and phone number on the raffle ticket and choose the basket you want to enter to win.
Visit our Event Calendar to see upcoming events: https://nesmithlibrary.org/calendar

The first 50 people to register for the Adult Summer Reading Program can pick up a registration bag starting on Monday, June 28! Watch for an email from Maria to know if you have a bag for pick up!

Email *

First Name *

Last Name *

Phone Number

Nesmith Library Card Number *

You must have a Nesmith Library card to participate in the Adult Summer Reading Program. If you do not have your library card number handy or you have questions about signing up for a library card, please call us: 603-432-7154

Age

If you are comfortable sharing this information with us, please indicate your age. You may also skip this question if you prefer not to answer.

Ages 16-20

Ages 20-30

Ages 30-40

Ages 40-50

Ages 50-60

Ages 60-70

Ages 70 & Up

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms