Governor's Summer Reading Program 2008
Please complete all information on this form. Return it by selecting the submit button at the bottom. If you wish to submit a paper copy, please download the pdf version (this link will open a new browser window) of this form, complete (you may type in the form on your computer before you print if you wish if you have Adobe Acrobat), print and mail to:
Mary Sjerven, Program Coordinator
South Dakota Braille and Talking Book Library
800 Governors Drive
Pierre, SD 57501-2294
This information will be used to contact you during the program. Procedures for ording books will be sent in your registration packet.

Registration Information:
* indicates required fields
Name*:  

Parent's Name*:  

Address*:  

City*:  

State*:  

Zip Code*:  

Telephone*:  




Your Preferences:
Age Group:






Reading Format:



Do you need a cassette player?:



Do you need new catalogs?:



Would you like help in choosing books?: