Personal tools

Personal tools

Summer Library Program Sign Up Form

Form to sign up for the Summer Library Program

Join the fun this summer at the Keck Memorial Library's Summer Reading Program!  Please fill out the following form to sign-up.

Grade you just finished   Please enter the grade you were in this year.

Photo/Video Permission   Check All That Apply *Check ZERO boxes for No Permissions.*
I understand the City of Wapello may photograph or videotape the events or activities in which I am (or my child) is participating. I give my permission for the City to use photographs or videotape of me (or my child) for the purpose of promoting the City of Wapello and its services/programs. I give my permission with the following understanding: No compensation of any kind will be paid to me (or my child) at this time or in the future for the use of my (or my child’s) likeness. *Permission is not required to take part in city events.*
Are you a human ?
In order to avoid spam, please answer the question below.
Question: Which item in the list Lemon, Blue, Green, Yellow is a fruit ?
Your answer:

The library staff will register your name.  You may stop by the library to pick up your "packet"  OR you may download your packet from the website.

Have fun reading this summer!


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This resource is supported by the Institute of Museum and Library Services under the provisions of the Library Services and Technology Act as administered by State Library of Iowa.