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Birthday Book Form

Birthday books are a wonderful way to celebrate your child's special day whether it is a birthday or other occasion. Especially selected books, tailored to your child's reading level and interests, will be commemorated with a bookplate with your child's name and will delivered by the Birthday Book Squad for a memorable experience. Once your child is done reading these books, they are invited to exercise their "giving" muscles by donating the books to the ACDS library for others to check out and enjoy. Please complete the form below to gift a Birthday Book!

Required

Give the gift of a Birthday Book to your child. Birthday Books are delivered to students to celebrate their special day, for the children to read, and then donate their Birthday Books back to the library.

Your Information

Namerequired
First Name
Last Name
Address 1required
Address 2
Cityrequired
Staterequired
Zip Coderequired
Phone Numberrequired
Email Addressrequired

Student Information

Student's Namerequired
First Name
Last Name
Student Birthdayrequired
Must contain a date in M/D/YYYY format
Delivery Daterequired
We will deliver on or as close to the chosen date as possible. (Must contain a date in M/D/YYYY format)
Student Homeroom Teacherrequired
If homeroom teacher is unknown, please enter N/A.
Student Grade LevelrequiredIf you are filling this form out over the summer, please tick grade level in the Fall.
If you are filling this form out over the summer, please tick grade level in the Fall.

Book Selections

FictionrequiredPlease select up to five book types.
Please select up to five book types.
Non-FictionrequiredPlease select up to five book types.
Please select up to five book types.
What are your chid's favorite topic/genres to read about?
Special Delivery Requests
Other Special Instructions

Donation and Payment Information

Donate to the ACDS Birthday Book Programrequired
Please enter a price greater than or equal to $10.00
Your donation directly purchases the books that will be selected for your child. Current book prices are approximately $10/paperback and $20/hardcover book.

Payment Information

Please select a payment typerequired
Billing Addressrequired
Cardholder Namerequired
Expirationrequired