EmailMe Form - Children's Booklist Request

Name *

First Last

E-mail *

Confirm E-mail

Phone

### - ### - ####

I am a... *

boy

girl

My age is... *

How should we get in contact with you?

E-mail

Call me - I'll pick it up

What types of books do you like? (Check all that would apply.) *

List a few of your favorite books. Why did you like them?

List some books you did not like. Why did you not like them?

Do you enjoy series books? (For example: Diary of a Wimpy Kid)

Yes

No

If yes, please list your favorites. Why do you like these?

Do you have a favorite movie? Why do you like this movie?

Do you like to read? (Check all that apply.)

Short stories (less than 50 pages)

Average stories (100-200 pages)

Longer stories (over 200 pages)

Are there any other comments you would like to add?

Click on Submit button when you are ready to turn in your list.

Thank you!