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2. Name*
3. Grade*
5. Phone Number
6. Email Address
8. Would you like a reminder notification about Teen Book Club?*

   1. Yes - Email me
   2. Yes - Text me
   3. No - Don't send me a reminder
10. Interlibrary Loan requests:*

    The Library will usually only have one copy of each book club selection. You are welcome to find extra copies yourself, but we can also request copies of the books from other libraries using Interlibrary Loan. Please indicate your preference:

    1. No, don't request Interlibrary Loans for me - I will find copies of the book club selctions on my own.
    2. Yes, please request an Interlibrary Loan for each month's selction
    3. Maybe, please check with me each month before requesting a book for me.
12. Library Card Number (Teen or Parent)

    We use this information to place Interlibrary Loans (ILL). If you need us to get you copies of the book club selections, please provide a library card number.

14. What books or types of books would you like to discuss in Teen Book Club?
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16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

* indicates a required field