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1,000 Books Before Kindergarten | Prize Order Form

  1. 1,000 Books Before Kindergarten Prize Form
  2. Instructions:
    Please fill out the form below for all levels that you need to pick up prizes for. You can fill this form out each time or pick up all prizes at the completion of the program. For questions give us a call at 540-772-7507.
  3. 50 Book Stickers
  4. 50 Books Read Prize: Sticker
    Choose one. If you have already picked up this prize, please leave blank.
  5. 200 Book Stampers
  6. 200 Books Prize: Stamper
    Choose one. If you have already picked up this prize, please leave blank.
  7. 400 Books Bubbles
  8. 400 Books Prize: Bubble Wand
    Choose one. If you have already picked up this prize, please leave blank.
  9. 600 Books Eggs
  10. 600 Books Prize: Shaky Egg
    Choose one. If you have already picked up this prize, please leave blank.
  11. 800 Books Animals
  12. 800 Books Prize: Finger Puppet
    Choose one category. If you have already picked up this prize, please leave blank.
  13. 1000 Books Book
  14. 1,000 Books Prize: Book
    You did it! You'll also receive a certificate and bag. Please choose one title below.
  15. Thank you!
    We will contact you when your prizes are available for pick-up at your favorite RCPL location. We appreciate your patience!
    Questions? Email kids@roanokecountyva.gov.
  16. Leave This Blank:

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