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2. 
4. First Name*
5. Last Name*
7. Address1*
9. Address2
11. City*
12. State*
13. Zip*
15. Phone Number*
16. Email Address*
18. How would you like to receive your summer reading packet to track your progress?*

    1. Pick up at Celina Public Library 142 N Ohio St. Celina Texas 75009
    2. Mail me my packet
    3. Email me my packet
20. 2019-2020 Grade Level*
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22. 1. Receive an email copy of this form.
23. Email address

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24. Submit

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