Library Book Bounce Program
Book Bounce Registration and Kit Request Form
* indicates required information
APPLICANT INFORMATION
* Name:
* Address:
* City:
* State:
* Zip:
* Phone Number:
* Email Address:
* Library Card Number:
ORGANIZATION INFORMATION
* Daycare, School, or Program Name:
* License Number:
* Director Name:
Same as above
* Address:
* City:
* State:
* Zip:
* Phone Number:
* Email Address:
BOOK BOUNCE KIT INFORMATION
Book Bounce Kits may be checked out one at a time for 3 weeks.
* Please list the kit you would like to checkout.
Please list 2 or 3 alternate kits in case your first choice is not available.
For Windows: Hold down the control (ctrl) button to select multiple options.
For Mac: Hold down the command button to select multiple options.
Please tell us when you would like to checkout the kit. Please allow 1 week for us to process your request.
* Pick Up Date: (Please select a date at least one week from today.)
* Pick Up Location:



If you have any questions about the Book Bounce Kit program, please contact:

Ginny Howerton
Public Services Manager
Library Services
Phone: (407) 665-1545
Email