Birthday Book Club 2002-2003

Name to be written on nameplate  
Birth Date  
Child’s Grade:  
Homeroom Teacher  

Please Choose one:
  		 

      		A.  Librarian’s Choice

Please enclose cash or check (made out to St. Rita School) for the amount of $20 and return this form to the library.		 B.  Parent’s Choice

Please write the title of the book you are donating and return this form with the book to the library.
Title:  

Your continued support of our school library is greatly appreciated!