2026 Summer Reading Program Registration form

2026 Summer Reading Program Registration form

CHILDS INFORMATION:
Child's Name*

First NameLast Name
Birth Date*

MonthDayYear
Photo Release permission
Parent/Guardian signature
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
This reading program is geared for children ranging in ages 5 to 10 years old. The goal of this challenge is to help children become interested in reading and keep their reading levels up over the summer!

We are running the program on Thursdays from July 9th - August 27th from 1-2pm. Children will be making crafts, playing games, reading and exploring each week. Our goal... children will read a minimum of 150 minutes for the 7 week period and every week submit their reading logs online to receive their prize ballot. Once we receive it, we will enter your name in the prize they chose that week.

Children who read 150 minutes a week for all 7 weeks will get a LIBRARY CHAMPION sign for their yard.

We will conclude the program with a wind up on Aug 27th for all the participants and their families. Reading prizes will be drawn at the wind up.

MAXIMUM 12 CHILDREN
Should be Empty: