Star Readers Program

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Fill in the following fields to complete your child's enrollment in the Star Readers program.

Parent/Guardian Name *

Parent/Guardian Phone Number

Participant's Name *

Participant's Date of Birth

YYYY

Anticipated date of Kindergarten Entrance (estimated) *

YYYY

Do you give library staff permission to write your child's name on milestone announcements on our Star Readers milestone display? *

Yes

If you answered yes to the previous question, please write the name you want us to use when making milestone announcements on the line below.

I understand that I am entering my child in the Taylorville Public Library Star Readers program. I understand that I am able to pull my child from this program at any time and my child is not required to finish the entire program. (To agree, type your name and date below)

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