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SRC Registration
Primary Contact
Name
Full name of primary contact person
Email
Please provide an email. If patron has no email, please use branch email address.
Phone
If no valid email, please provide a phone number.
Participation Type
Reading Challenge
If you will only do the Reading Challenge
Program Attendance
If you plan to only attend programs at any branch
Program & Reading Challenge
If you plan to attend programs and participate in the Reading Challenge
Primary Location
- Select -
Accident
Friendsville
Grantsville
Kitzmiller
Oakland
Please select the branch that you will participate at most.
Participant Name
Participant Name
Participant Name
First
Last
Age Group
?
Please enter the age group for this participant: 0-5, 6-11, or 12-18
Add more participants
If you need to enter more participants, please provide the name/age of each participant and use the "Add more participants" button to add more names. You can register up to 20 names.
Register for SRC!
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