Nomination Form for Black Creek Library Kid Reader of the Month

Nominate a child you feel would be a great Black Creek Library Kid Reader of the Month. They will have their picture  and a short interview in the Advertiser Community Newspaper and posted on Facebook (optional).

* 1. Name of the child:

* 2. Your Name:

* 3. What is your relationship to the child?

* 4. Why would he/she make a great Black Creek Library Kid Reader of the Month?

* 5. How would you like to be contacted if your child is chosen?

* 6. Preferred contact information

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