Event Report

1. Program Date*

2. Count*

3. Cost

4. Program Name*

5. Program Type*
   1. Preschool Storytime
   2. LKRTR
   3. Children
   4. Reading Buddies
   5. Teens
   6. Adult
   7. SRP Children
   8. SRP Teen
   9. SRP Adult

6. Program Level*
   1. Family
   2. Children
   3. Teen
   4. Adult

7. Outreach*
   1. Yes
   2. NO

8. Other Notes

Leave This Blank:


9. 1. Receive email copy
10. Email address

11. Submit

* indicates a required field