Name Age Library Card Number (account books will be checked out to) Name of Card Holder Parent/Guardian Name Parent/Guardian Email Do we have your permission to access your library reading history to avoid sending you books you've previously checked out? Yes No I would like: Select one. Fiction Nonfiction Mix of both Book Format What book format would you like? Select all that apply. Preferred Format Checkboxes Large Print Book Beginning Reader Young Adult Audiobook Early Chapter Book Picture Book Chapter Book Graphic Novel Genres Select your top genres. Write in any you dislike or that we missed. Genres Checkboxes Action/Adventure Fantasy Survival Science Fiction Mystery Historical Fiction Religious Humor Horror Biography/Memoir Other... Enter other… Write in any genres you dislike. Anything we should try to include or avoid? What topics or themes would you like to read or have read to you? What was the last book that you read or was read to you that you really liked?