Reading Group Registration Form
Register to join our reading group. Please fill out all required details to participate.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Age Group
*
Please Select
Under 18
18-25
26-40
41-60
61 and above
Preferred Reading Genres
*
Fiction
Non-fiction
Mystery/Thriller
Science Fiction/Fantasy
Biography/Memoir
Other
Preferred Meeting Days
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred Meeting Time
*
Please Select
Morning
Afternoon
Evening
How did you hear about the Reading Group?
Please Select
Friend/Word of Mouth
Social Media
Library
Online Search
Other
What are you hoping to get out of this reading group?
Do you have any previous experience with reading groups?
Yes
No
Register
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