2021 Summer Reading

Sign up for Mike's 2021 Summer Reading Challenge!

Parent/Guardian First Name

Parent/Guardian Last Name

Home Address

Street 1 Street 2 City State Zip

Email Address*

Home Phone () -

Student 1 Name

Student 1 School Name

Student 1 Grade Level

Student 2 Name

Student 2 School Name

Student 2 Grade Level

Student 3 Name

Student 3 School Name

Student 3 Grade Level

Student 4 Name

Student 4 School Name

Student 4 Grade Level

Student 5 Name

Student 5 School Name

Student 5 Grade Level

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