Mayor's Book Club Form, Children and Youth Resources, Longmont, Colorado
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Mayor's Book Club Online Form

What is the Mayor's Book Club? 

The Mayor's Book Club is a FREE monthly program for 3 and 4 year old children. Children participating in the Mayor's Book Club receive a Mayor's Book Club T-Shirt and a new bilingual book each month. Children can also watch the Mayor and others read the monthly book on Longmont's Channel 8.

Why was it created?

The purpose of the Mayor's Book Club is to encourage a love for reading. Reading early in life also helps promote child development and later school success.

How can I sign-up?

Sign up is continuous throughout the year. To sign-up, please complete this online form or download one of the PDF files, fill it out and send it back to us.

Who do I contact for questions about this program?

Call Youth Services, Bright EYES Coordinator at (303) 774-3762.

Mayor's Book Club is brought to you by the City of Longmont & Bright EYES

Please fill out the registration form below if you have a child who qualifies for the program.

Please note that all information in City databases is subject to the Open Records Act, including information submitted via this form. E-mails are only checked once per day, Monday-Friday. For an emergency, please dial 9-1-1 or Longmont Dispatch at (303) 651-8501. For other urgent requests that require assistance, please call the City Information Desk at (303) 776-6050, Monday - Friday from 8 a.m. - 5 p.m.

Fields colored in "Red" with an asterisk (*) are required.

 

Child's First Name *
Child's Last Name *
Child's Birth Month *
(01 for January)
Child's Birth Year *
(2007)
Child's Current Age *
(04)
Parent First Name *
Parent Last Name *
Change of Address *
Address *
City *
State *
Zip *
E-mail *
Confirm E-mail *
Telephone *


Additional Information:
Our Books are bilingual, but once or twice a year we send out books in English or Spanish.
Which do you prefer? *
Which Preschool does your child attend?
What Kindergarten will your child attend?
Where did you hear about the Mayor's Book Club?

If you want a copy of your request, click the "Print Form" button prior to clicking the "Submit" button.