Teen Book Club

2. First Name*
3. Last Name*
5. Age*
6. Email*
8. Parent Name (First)*
9. Parent Name (Last)*
11. Parent Phone Number*
13. Acknowledgment*

    1. I Agree

    By checking the box, the participant acknowledges they have parent permission to participate in the Teen Virtual Book Discussion with the North Palm Beach Library. The participant also acknowledges that they will not share the Zoom meeting invitation once received.
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15. 1. Receive an email copy of this form.
16. Email address

    This field is not part of the form submission.

17. Submit

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