Children’s Leading Readers Application

Which available Leading Readers Library is your child applying to?(Required)

Please be sure this matches an available session or your application may not be processed.

Child's Name(Required)

First Last

Age(Required)

Grade(Required)

School

I am really interested in:

My favourite thing to do after school and on weekends is:

My favourite book is:

The last book that I read was:

List any medical conditions, special needs, allergies, (medication, food, etc.) that we should be aware of.

Medical Conditions / Special Needs / Allergies:

Use the + symbol to add additional rows if needed.

Additional Medical Info/Comments:

Parent/Guardian's Name(Required)

First Last

Parent/Guardian's Address(Required)

Street Address Address Line 2 City Postal Code

Phone(Required)

Email(Required)

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