CELEBRATION BOOK REQUEST FORM
You may print out this form and send it into school with your child marked "For the Library."
| Child's Name: | Class: |
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Birthday or Special Occasion: |
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Child's Name: |
Class: |
| Birthday or Special Occasion: |
| ___ Hardback Book ($15.00) | ____Paperback Book ($5.00) |
| ___ Cash | ____ Check (payable to Shady Grove Elementary School) |
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I give permission for my child's picture to be put in the book: |
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___________________________ Parent / guardian signature |
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Please provide any information which is relevant to selecting a book for your child. |
| FAVORITE AUTHOR/S:_____________________________________________________ |
| FAVORITE ILLUSTRATOR/S:________________________________________________ |
| SPECIFIC TITLE/S:_________________________________________________________ |
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Please check as many types of books and/or subject area/s as may apply. |
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FICTION |
NONFICTION |
| PICTURE BOOKS | CHAPTER BOOKS | SUBJECT AREAS OF INTEREST |
| _____Adventure | _____Fantasy | _____Animals |
| _____Animal | _____Historical Fiction | _____Art/Drawing/Music |
| _____Fairy Tales | _____Mystery and Suspense | _____Biography |
| _____Fantasy | _____Realistic Fiction | _____Folk and Fairy Tales |
| _____Humorous | _____Science Fiction | _____History and Geography |
| _____Realistic | _____Series (specify)___________ | _____Poetry |
| _____Scary | _____Other (specify)____________ | _____Science |
| _____Sports (specify)_________________ | ||
| _____Other (specify)__________________ |
(in case we have any questions.......)
| PARENT NAME ________________________ | PHONE _______________ |