Register for 'Youth Summer Reading Program'

 
To register, fill out the form and click the Save button. All required fields are marked with a red asterisk.
 
 
   
*User Name
*Password
*
*First Name
*Last Name
*Parent/Guardian First Name
*Parent/Guardian Last Name
*Gender
*Grade
*Street Address 1
*Zip Code
 - 
*Phone Number
()     - 
Email
*School Name
*Primary Library
*Permission to Text?
Yes    No    May we text you information about Summer Reading?
*iPad Mini
Yes    No    B104 is sponsoring a contest where 1 Lehigh Valley Summer Reading participant will be drawn to win a free iPad.
*
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