Ages: Birth - 5 Grade Fill out a short questionnaire that lets us know your family's favorites using the Material Request Form below. We will pull a selection of ten children's items - books, books on CD, movies and music CD's. We will call you when your items are ready and you can pick it up at the Circulation Desk at the appropriate location. Please give us at least 2 weeks notice. A valid NPL Library card is required to receive this service. First Name * Last Name * Library Card * Address Email * Phone * Date Needed * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20172018 Year Pickup Location * - Select -Naper Blvd.Nichols95th Street Select the options that best apply to your situation We are going on vacation and want children's books that will appeal to all of the readers in our family. We will be reading or listening to books together. * - Select -YesNo We need books for each of our children to read individually. * - Select -YesNo We want a selection of Children's movies in these formats DVD Blu-ray We want a selection of music CD's for our trip - None -YesNo CD List Please answer the following questions about your children Name Age/Reading Level Gender - None -FM Reading Interests Another Child? - None -Yes Child's Name Age/Reading Level Gender - None -FM Reading Interests Another Child? - None -Yes Child's Name Age/Reading Level Gender - None -FM Reading Interests Another Child? - None -Yes Child's Name Age/Reading Level Gender - None -FM Reading Interests Will adults be reading or listening to the books we select? - None -YesNo Reading Interests How long will you be on vacation? DVD/Blu-Ray circulate for 1-2 weeks, books for 3 weeks. Will you need an extension? - None -YesNo If so, what date will you be returning from your trip? MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year201720182019 Year Is there anything else you want to tell us that will assist us in choosing materials? Name your favorite children's author/s: What are some of the best children's books that your family has ever read? What children's book or books has your family read most recently that you liked? What children's book or books has your family read most recently that you did not like? What hobbies or activities is your family involved in? Email To (Hidden) Math question * 2 + 0 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.