Dauphin County Library System: Open for Discovery!
  • 2013 Summer Reading Club Registration

    Please fill out the following information to be registered for the Summer Reading Club.

    • Please understand that this form registers you for the reading component of the Club. You must register for programming separately.
    • Include a valid email address in the registration form below. You will be emailed your registration confirmation. Print this registration confirmation email or show The Library the registration email on your smart phone to collect your program materials and registration prizes at any Library location. If you prefer not to provide an email address, stop by The Library to register on paper.

    Thank you for participating in the Summer Reading Club!

    NOTE: * denotes required field.

    * Choose a Club:

    * First Name:

    * Last Name:

    Parent First Name:

    Parent Last Name:

    * Gender:

    * Age:

    * Grade: (for 2013/2014 school year)

    School District:

    If attending school in the Fall, which school?

    Street Address:

    City:

    * State:  

    Zip Code:

    Phone Number:

    * Email:
    I'd like to receive The Library news by email.

    * Primary Library:

    Parental Consent:I understand that The Library keeps my personal information private and does not sell it or share it with other organizations. I further understand that if I am under the age of 17, the contents of my reading log are available to my parents/guardians for review upon their request.


    Registration may take a moment to submit. Please click send only once.

     

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