BooksbyUsborne.com
Summer Reading Challenge Registration
Family Info:
Parent Name *
Street Address
City, State, Zip
Phone Number *
E-mail Address *
First Child Info:
Child Name *
Child Age
Child Gender
Boy
Girl
Second Child Info:
Child Name
Child Age
Child Gender
Boy
Girl
Third Child Info:
Child Name
Child Age
Child Gender
Boy
Girl
Fourth Child Info:
Child Name
Child Age
Child Gender
Boy
Girl
Fifth Child Info:
Child Name
Child Age
Child Gender
Boy
Girl
How did you find out about the Summer Reading Challenge?
Participated last year
Received an e-mail
Received a phone call
Received flyer from school/preschool
Heard about from a friend
Received flyer at storytime
Some other way
If you have any comments, please add them here.
Thank you for emphasizing reading with your children this summer. When you click submit, this form will be e-mailed to me. I will mail out packets to participating children in late May. Thank you!