Summer Reading Challenge Registration

Contact Details

Email

Phone(Required)

Do you have a Saline County Library Card?(Required)

Which library branch do you visit?(Required)

Which library branch would you like to pick up your prizes at?(Required)

Age(Required)

School(Required)

Please explain how you heard about this event.

Age(Required)

SECOND ADULT Email (if different from above)

SECOND ADULT Phone (if different from above)

Does the SECOND ADULT in the household have a Saline County Library Card?(Required)

Child 1 Age(Required)

Child 1 School(Required)

Child 2 Age(Required)

Child 2 School(Required)

Child 3 Age(Required)

Child 3 School(Required)

Child 4 Age(Required)

Child 4 School(Required)

Child 5 Age(Required)

Child 5 School(Required)

Child 6 Age(Required)

Child 6 School(Required)

Child 7 Age(Required)

Child 7 School(Required)

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Reading Log

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MAIN READER: How many days have you read in total?(Required)

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SECOND ADULT READER: How many days have you read in total?(Required)

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CHILD 1 How many days have you read in total?(Required)

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CHILD 2 How many days have you read in total?(Required)

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CHILD 3 How many days have you read in total?(Required)

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CHILD 4 How many days have you read in total?(Required)

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CHILD 5 How many days have you read in total?(Required)

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CHILD 6 How many days have you read in total?(Required)

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CHILD 7 How many days have you read in total?(Required)

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Date MAIN READER Prize 1 was picked up.(Required)

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Date SECOND ADULT Prize 1 was picked up.(Required)

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Date CHILD 1 Prize 1 was picked up.(Required)

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Date CHILD 2 Prize 1 was picked up.(Required)

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Date CHILD 3 Prize 1 was picked up.(Required)

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Date CHILD 4 Prize 1 was picked up.(Required)

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Date CHILD 5 Prize 1 was picked up.(Required)

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Date CHILD 6 Prize 1 was picked up.(Required)

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Date CHILD 7 Prize 1 was picked up.(Required)

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Date MAIN READER Prize 2 was picked up.(Required)

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Date SECOND ADULT Prize 2 was picked up.(Required)

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Date CHILD 1 Prize 2 was picked up.(Required)

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Date CHILD 2 Prize 2 was picked up.(Required)

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Date CHILD 3 Prize 2 was picked up.(Required)

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Date CHILD 4 Prize 2 was picked up.(Required)

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Date CHILD 5 Prize 2 was picked up.(Required)

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Date CHILD 6 Prize 2 was picked up.(Required)

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Date CHILD 7 Prize 2 was picked up.(Required)

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Date MAIN READER Prize 3 was picked up.(Required)

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Date SECOND ADULT Prize 3 was picked up.(Required)

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Date CHILD 1 Prize 3 was picked up.(Required)

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Date CHILD 2 Prize 3 was picked up.(Required)

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Date CHILD 3 Prize 3 was picked up.(Required)

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Date CHILD 4 Prize 3 was picked up.(Required)

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Date CHILD 5 Prize 3 was picked up.(Required)

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Date CHILD 6 Prize 3 was picked up.(Required)

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Date CHILD 7 Prize 3 was picked up.(Required)