Rep. Davidsmeyer’s Summer Reading Club

Rep. Davidsmeyer’s Summer Reading Club challenges current K-5^th graders to read 10 books during their summer break. Books of 150 pages or more count as two books.

Once a student completes the reading, fill out the form below, have a parent or guardian verify that the books were read.

Children who have read 10 books and submitted this form will receive an official certificate recognizing their commitment to reading. Libraries with 10 or more Summer Reading Club participants will receive a Pizza Party at the end of the summer.

The form must be received by July 28, 2023. Contact us at (217) 243-6221 if you have questions.

Student's Name(Required)

First Last

Student's Age(Required)

Grade student will be entering in the fall(Required)

Student's School

Which public library did you use?(Required)

Parent/Guardian Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

List titles of the books you have read. Books with more than 150 pages may be listed twice and count as two books.

Book 1(Required)

Book 2(Required)

Book 3(Required)

Book 4(Required)

Book 5(Required)

Book 6(Required)

Book 7(Required)

Book 8(Required)

Book 9(Required)

Book 10(Required)

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