All information will remain confidential. If you need to sign up more than one person for the Summer Reading Program, please fill out a new form for each person. Sign-up takes place June 1-June 30. Summer Reading begins July 1.

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* 1. Participant's Last Name

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* 2. Participant's First Name

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* 4. How would you like to receive your Summer Reading Game Board?

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* 5. Phone Number (including area code)

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* 6. Mailing Address (if you want us to mail you a game board)

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