Kids' Paper-Only Reg

This form is for staff to use ONLY for those patrons who do not want to use READsquared. If patrons are doing online AND paper options, they should register themselves through our READsquared site at

Child's First Name
Child's Last Name
Providing a phone # or email address may help us contact you if you win a prize.
Not all 4K sites are listed. Choose OTHER at the end of the list if you do not see your institution.
If your school or 4K site is not listed above, please type it here.
(This question is for statistical purposes only.)
13 + 5 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.