JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2019 "Read to Me" Registration (Ages 0-4)
Don't forget to pick up your Summer Reading tracker and stickers to help you record all the time you have spent reading!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Primary Phone
*
Your answer
E-Mail Address
*
Your answer
Can we e-mail you about future library programs?
Yes
No
Clear selection
Gender
Boy
Girl
Clear selection
Age
*
Choose
Under Age 1
1
2
3
4
Prize Preference
*
Choose
Ages 0-2
Ages 2-4
Have you ever joined our Summer Reading Program before?
*
Yes
No
Are you currently enrolled in another Summer Reading Program?
*
Yes
No
Which Summer Reading Program have you also enrolled in?
Your answer
What is your summer reading goal? (in hours)
*
Your answer
How did you hear about our Summer Reading program?
*
Choose
Family/Friends
Heard about it during a visit to the library.
E-mail from library
Library website
Social Media
Library Sign
Park News
Other local newspaper
Other
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
