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2. Burleson Library Outreach Request

   The Burleson Library Outreach Van, Reading Rover, provides services to the Burleson community. 

   Interested in having Reading Rover visit your location? Please provide the details of the event so staff may consider your request. 

   All events must be open to the public.

4. 
6. Name *

   of Individual completing the form

7. Email*
9. Mobile Phone # for contact day of event*
11. Event Description
13. Is this event open to the public?

    1. Yes
    2. No
15. Is the event organized by a *

    1. nonprofit
    2. community group
    3. school
    4. individual
16. Organization Name
18. Event Audience*

    1. Early Childhood (0 to 5)
    2. Student Age (6 to 11)
    3. Young Adult (12 to 18)
    4. Adults (19+)
    5. General Interest/All Ages
19. Activities at your event*

     What activities would you like the library to provide?

    Please choose two.

    1. Create Library Cards
    2. Craft activity
    3. General education about Library Resources
    4. Video Games
    5. Yard Games (corn hole, connect four, oversize Jenga, checkers)
    6. Other (Please specify)
20. What other activities would you like the library to consider?
22. Event Street Address*
23. Expected Attendance
25. Date of event*
26. Arrival Time*
27. Start Time*
28. End Time*
30. Is there adequate space to park the van?*

    1. Yes
    2. No
31. Will we have access to electricity?*

    1. Yes
    2. No
32. Event Flyer

34. Please allow three business days to receive a response. 

Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field