Rep Stephens’ Summer Reading Program

Summer Reading Log

Student's Name(Required)

First Last

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Student's grade in the Fall

Student's age in the Fall(Required)

Name of Student's School in the Fall(Required)

Parent or Guardian's Name(Required)

First Last

Parent or Guardian's Phone

Parent or Guardian's Email(Required)

Enter Email Confirm Email

Student's Address(Required)

Street Address City State ZIP Code

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