WE’RE SO EXCITED THAT YOU’RE JOINING OUR READING COMMUNITY!

WE’RE SO EXCITED THAT YOU’RE JOINING OUR READING COMMUNITY!
YOUR NAME*

First NameLast Name
YOUR PHONE #*
YOUR EMAIL*
PLEASE, INTRODUCE YOUR YOUNG READER.*

NAMEPREFERRED NAME/NICKNAME
WHAT GRADE ARE THEY IN?*
WHAT IS THEIR FAVORITE BOOK?*
SHARE A FEW OF THEIR INTERESTS.*
DO THEY HAVE ANY KNOWN FOOD ALLERGIES, OR FOOD THAT THEY DON'T PARTAKE OF? WHAT IS THEIR FAVORITE TYPE OF PIZZA?*
PLEASE, INTRODUCE YOUR YOUNG READER.

NAMEPREFERRED NAME/NICKNAME
WHAT GRADE ARE THEY IN?
WHAT IS THEIR FAVORITE BOOK?
SHARE A FEW OF THEIR INTERESTS.
DO THEY HAVE ANY KNOWN FOOD ALLERGIES, OR FOOD THAT THEY DON'T PARTAKE OF? WHAT IS THEIR FAVORITE TYPE OF PIZZA?
BY SIGNING BELOW, I AM AGREEING TO FULLY ENGAGE, AND GRANT MY CHILD (OR CHILDREN), NAMED ABOVE, PERMISSION TO FULLY PARTICIPATE IN OUR PARENT-CHILD BOOK CLUB’S LITERARY JOURNEYS, DISCUSSIONS, AND ACTIVITIES. YES, I GRANT MY PERMISSION.* TODAY’S DATE* PARENT NAME* PARENT SIGNATURE*
WHO WILL BE JOINING OUR BOOK CLUB?*

PARENT + 1 CHILD ($75/MO)PARENT + 2 CHILDREN ($100/MO)
I WOULD LIKE TO PAY BY...*

VENMOSQUARE
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