Summer Reading Program

Children ages birth-18

New Registration
Child's Information:
*Child's First name:
*Child's Last name:
*Phone (10 digits):
*Age:
E-mail Address:
*Grade:
Guardian Info:
*Parent/Guardian First Name:
*Parent/Guardian Last Name:
*Guardian Phone (10 digits):
*Guardian E-mail Address:
*Consent:
*Summer Reading Age Group:
* denotes required field