Rep. Bunting’s Summer Reading Club for Kids

Summer Reading

Student's Name(Required)

First Last

Student's Age in the Fall(Required)

Student's Grade in the Fall(Required)

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Student's Grade in the Fall(Required)

Student's School in the Fall

Parent/Guardian Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address City State ZIP Code

List titles of the books you have read. Books with more than 150 pages may be listed twice and counted as two books.

Book 1(Required)

Book 2(Required)

Book 3(Required)

Book 4(Required)

Book 5(Required)

Book 6(Required)

Book 7(Required)

Book 8(Required)

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