Summer Reading Registration 2024 Summer Reading Program Registration Step 1 of 2 50% Contact DetailsChild's Name(Required) First Last Parent/Guardian Name(Required) First Last Parent/Guardian 2 Name First Last Parent/Guardian Email(Required) Enter Email Confirm Email Parent/Guardian Phone(Required)Parent/Guardian 2 PhoneAddress(Required) Street Address Mailing Address City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Gender(Required)MaleFemaleOtherPrefer Not to AnswerDate of Birth(Required) MM slash DD slash YYYY Grade Level in 2024-2025(Required)First GradeSecond GradeThird GradeHow did you hear about this event?(Required)Social MediaWord of MouthFlyerSchoolOther Emergency Contacts and Pickup ContactsEmergency Contact(Required) First Last Relationship to Child(Required) Emergency Contact Phone(Required)Additional Authorized Individual Other than Parent for Child Pickup 1 First Last Additional Authorized Individual Other than Parent for Child Pickup 1 PhoneAdditional Authorized Individual Other than Parent for Child Pickup 1 Relationship Additional Authorized Individual Other than Parent for Child Pickup 2 ID ImagePlease upload photograph of ID of individual authorized to pick up child. REQUIRED before pickup is allowed. Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 64 MB.Additional Authorized Individual Other than Parent for Child Pickup 2 First Last Additional Authorized Individual Other than Parent for Child Pickup 2 PhoneAdditional Authorized Individual Other than Parent for Child Pickup 2 Relationship Additional Authorized Individual Other than Parent for Child Pickup 2 ID ImagePlease upload photograph of ID of individual authorized to pick up child. REQUIRED before pickup is allowed. Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 64 MB.Does your child have any known allergies or any health conditions that we should be aware of?(Required) Does your child have any food allergies or special dietary needs?(Required) Does your child have an epinephrine injection device (Epi Pen) or inhaler?(Required) Epi Pen Inhaler None *If your child has either of these items, we request they have it with them during the event.
