Teen Item Pick-Up Form

2. First Name
3. Last Name
5. Phone Number
6. Email Address
8. Preferred Method of Contact
   -- Select One --EmailPhone/Voicemail
9. Library Card Number
11. Age
    -- Select One --12yrs13yrs14yrs15yrs16yrs17yrs18yrs19yrs
12. Reading Level
    -- Select One --On grade level5th/6th3rd/4thEmerging reader
13. What kind of reader are you?

    1. I love to read all the time!
    2. Eh, reading is ok
    3. I read only if I have to
    4. I avoid reading!
15. What Type of Items? (Pick all that apply)

    1. Books
    2. Audiobooks PlayAway
    3. Libby/Downloadable Book
    4. Board Game
    5. Video Game
16. What kinds of books? (Pick all the apply)

    1. Fiction Chapter Books
    2. Graphic Novels
    3. Non-Fiction Books
    4. Biographies
    5. Picture Books
18. What do you like?

    Mark any of the things that interest you or that you like to do!

    1. Animals
    2. Art
    3. Biographies
    4. Building and Construction
    5. Cars and vehicles
    6. Cooking/Food
    7. Computers/Coding
    8. Crafts
    9. Fantasy/Magic
    10. Friends
    11. Fashion
    12. Funny Stories
    13. Games/Puzzles

    1. History
    2. Math
    3. Minecraft
    4. Movies
    5. Make-Up/Hair
    6. Mystery
    7. Mythology
    8. New Books
    9. Outer Space
    10. Outdoors
    11. Pokemon
    12. Photography

    1. Poetry
    2. Realistic Fiction
    3. Romance
    4. Role Playing Games
    5. Stories in Prose
    6. Science
    7. Sports
    8. Theater
    9. Tik Tok or Social Media
    10. Urban Stories
    11. Video Games
    12. World Culture
20. Any other information? (Optional)

    List specific titles if you'd like them or anything else that we help us in selection

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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

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