Child's Name*

Child's Age*

Parent’s Name*

Parent or Child’s Phone Number*

Parent’s or Child’s Email Address*

Child or Parent’s Library Card Number *

I am looking for*
check all that apply
Picture BooksBeginning ReadersChapter BooksNonfiction

For Picture Books and Beginning Readers, are there any topics that you think your reader would like?

For chapter books, what genres does your reader prefer?
check all that apply
FantasyMysteryHistoricalHumorContemporaryAdventures

Other details to help us match books to your reader!
(for example: favorite movie, sport, activity, game)

For nonfiction books, what subjects does your reader prefer?

Tell us a book or author your reader loved

Tell us a book or author your reader did not like