Clermont Public Library

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Registration Form

Use this form to register for our Summer Reading Program

Please fill out this form to register for the summer reading program.

Does the child read alone or do you read to him/her?  

Photo and/or Video Publicity Permission  

Are you a human ?
In order to avoid spam, please answer the question below.
Question: Which item in the list Cat, Chicken, Sheep, Pear is a fruit ?
Your answer:

Thank you for registering.

This resource is supported by the Institute of Museum and Library Services under the provisions of the Library Services and Technology Act as administered by State Library of Iowa.