Unearth a Story: 2026 Summer Reading Program

Summer Reading 2026 Registration Form
Childs Name
Age
Grade in Fall
Street Address
City
Zip
School District
Parent
Phone
Format: (000) 000-0000.
Email
example@example.com
Please pick the level that best describes your child's reading
Please pick the group you would like to sign your child up for
I am the parent/guardian of the child listed in the form above. By signing my name in the space provided, I give my child permission to participate in the Clarion Free Library's 2026 Summer Reading Program.
Permission to Record and/or Photograph
Please choose one of the following statements:
Signature
Date

MonthDayYear
Date
Should be Empty:

Summer Reading 2026 Registration Form