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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. Child's Age
    -- Select One --1yr2yr3yr4yr5yr6yr7yr8yr9yr10yr11yr12yr
12. Another Child?

    1. Yes
    2. No
13. Second Child's Age
    -- Select One --01yr2yrs3yrs4yrs5yrs6yrs7yrs8yrs9yrs10yrs11yrs12yrs
15. What Type of Items? (Pick all that apply)

    1. Books
    2. Vox Books (read along books)
    3. Audiobooks PlayAway
    4. Audiobooks CD
    5. Yoto Cards
    6. Exploration Kits
    7. Game
16. What kinds of books? (Pick all the apply)

    1. Picture Books
    2. Beginning Readers
    3. Intermediate Readers
    4. Fiction Chapter Books
    5. Graphic Novels
    6. Read-Aloud Chapter Books
    7. Non-Fiction Books
    8. Biographies
18. What topic or topics would you like?

    Pick any topics that are of interest.

    1. Animals
    2. Art
    3. Award Winning
    4. Biographies
    5. Building and Construction
    6. Cars and vehicles
    7. Cooking/Food
    8. Dinosaurs
    9. Fairy Tales

    1. Fantasy/Magic
    2. Funny Stories
    3. History
    4. Mystery
    5. Mythology
    6. New Baby/Sibling
    7. New Books
    8. Outer Space
    9. Poetry

    1. Realistic Fiction
    2. Royalty (Princesses)
    3. Rhyming Books
    4. Science
    5. School
    6. Sports
    7. Wordless Books
    8. World Culture
20. Any other information?

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

22. Need a change?

    If you requested before, did you need a different reading level or anything else changed? 

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24. 1. Receive an email copy of this form.
25. Email address

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26. Submit

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