Children's Summer Reading Program 2008 Registration Form

Crest Hill Public Library 1298 Theodore St. Crest Hill, IL 60403 Phone: 815-725-0234 Fax: 815-725-3786 E-mail Us Map & Directions		Lockport Public Library 121 East Eighth St. Lockport, IL 60441 Phone: 815-838-0755 Fax: 815-838-9131 E-mail Us Map & Directions
Monday-Thursday: 9:00 am- 9:00 pm \| Friday & Saturday: 9:00 am- 5:00 pm \| Sunday: 1:00 pm- 5:00 pm

Children's Summer Reading Program 2008 Registration Form

You're almost in the game! Register NOW for "Get in the Game, READ!"
After you fill out and submit this form, don't forget to stop by the library on, or after Monday, June 16th
to pick up a game card to keep track of the number of books you read and the programs you attend! If you have any questions please contact Children's Services at the library. Thank You!

Fields with an * next to them must be completed.
Child's Name * First Last
* Required Field
Address *
Street Address

City

State

Postal / Zip Code

* Required Field
Child's Library Card Number
Primary Library You Will Visit for Participation *

* Required Field
Child's Age *

* Required Field
Child's Grade Level (Completed in June '08)
Child's School *

* Required Field
Did this Child Participate in the Program Last Year? *
* Required Field
Parent's Name * First Last
* Required Field
E-mail Address
Phone * (###-###-####)
* Required Field
May we e-mail you news about the Library?