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Adult & Teen Summer Reading Report Form

  1. Category*

  2. How to Calculate the Number of Tickets Earned

    1 Book (Read or Listen) = 1 Ticket, Every 15 minutes reading to a child = 1 Ticket

  3. Please indicate below how you would like your earned tickets to be distributed for prize drawings.

  4. August 2 - $30 Canyon Nursery Gift Card

  5. August 9 - $25 Village Market Gift Card

  6. August 9 - $25 City Market Gift Card

  7. August 16 - $25 Wildland Scapes Gift Card

  8. August 16 - $25 Moonflower Community Cooperative Gift Card

  9. August 23 - $50 Gear Trader Gift Card

  10. August 23 - $25 Rave'N Image Gift Card

  11. August 30 - $25 Arches Thai Gift Card

  12. August 30 - $25 The Spoke on Center Gift Card

  13. September 6 - Annual Swim Pass to Moab Recreation & Aquatic Center

  14. September 6 - Hampton Inn Grand Junction 1 Night Stay

  15. Leave This Blank:

  16. This field is not part of the form submission.