Library Reading Challenge Signup

Participant Full Name

First NameLast Name

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Age Group

School Name (if applicable)

Home Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Preferred Reading Genres

What is your reading goal for this challenge? (Number of books or hours)

Have you participated in a previous reading challenge at this library?

How did you hear about the Reading Challenge?

Do you need any reading accommodations (e.g., large print, audiobooks)?

Other

Please list any favorite authors or book series you enjoy.