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Book Clubs Registration Form

Children and Teen Book Clubs must have an adult register on their behalf. This adult will then serve as the contact person for the Book Club.

Please note that entries indicated with asterisk (*) are required.

*Name of Your Book Club:

*Type of Book Club:

AdultsTeensChildren

*First Name:

*Last name:

*Age:

16 years of age or olderLess than 16 years of age

*Pick-up Library:

*Email Address:

*Telephone:

*Library Card Number:

I understand that VPL staff may send me a follow-up email notifying me when the books are ready for pick-up, if there are any problems with my selection of titles, or to get clarification of my personal information.

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Book Clubs Registration Form

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