SRC Registration | Ruth Enlow Library

Name

Full name of primary contact person

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

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

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.

CAPTCHA

Math question

2 + 11 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.