Full Name
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Library Card Number
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Branch
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-- Select only one branch --
Cumming Library, 585 Dahlonega St, Cumming, GA 30040
Hampton Park Library, 5345 Settingdown Rd, Cumming, GA 30041
Post Road Library, 5010 Post Rd, Cumming, GA 30040
Sharon Forks Library, 2820 Old Atlanta Rd, Cumming, GA 30041
Email Address
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Phone Number
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Grade
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-- Select an Age Level --
Pre-k
K
1
2
3
4
5
Middle School
High School
Adult
How Many Item(s)
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-- Select --
1
2
3
4
5
6
7
8
9
10
What type of books would you like?(for example: genre, author readalike, subject matter, etc.)
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Comfort Level with Violence
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-- Select --
Not at all comfortable
Somewhat comfortable
I don’t have a problem with it
Comfort Level with Sexual Content
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-- Select --
Not at all comfortable
Somewhat comfortable
I don’t have a problem with it
Check Material Preferences
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Book on CD
DVD
Hardback regular print
Large Type
Paperback if available
Additional Notes