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2023 Children's SRP Trophy Order Form

Start

2023 Children's SRP Trophy Order Form

Congratulations!! You have completed the 2023 Summer Reading Program! Please fill out this form for ONE child. If you have more than one child who has completed the program you will need to fill out this form again.

Parent/Guardian's First Name *

Parent/Guardian's Last Name *

Child's Full Name * This will be the name printed on the trophy! Double check the spelling!

Phone Number *

Secondary Phone Number

I acknowledge that the child, whose name is on this form, has completed the 600 minute summer reading challenge and I agree to pick up the personalized trophy no later than August 19th 2023.
*

I agree

2023 Children's SRP Trophy Order Form

Click Submit to finish.