Adult Paper-Only Reg

This form is for staff to use ONLY for those patrons who do not want to use READsquared. If patrons are doing online AND paper options, they should register themselves through our READsquared site at apl.readsquared.com

Providing a phone # or email address may help us contact you if you win a prize.
Optional
2 + 7 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.