Summer Reading Program Registration Please complete this form for each person registering for the program. Participant Full Name * Phone Number or Email * Age Category * Age 5 Age 6-8 Age 9-12 Age 13+ Is this your first time signing up for the summer reading program? * Yes No Privacy Statement The personal information collected in this form is used to manage the summer reading program. It will not be shared with any third parties but may be used for statistical purposes. It is collected under the authority of Section 32 of the Freedom of Information and Protection of Privacy Act and is protected under this act. If you have any questions on disclosure or use of this information, please ask the library manager. Leave Blank
