Aztec Public Library
in Collaboration with
San Juan Masonic Lodge #25 AF & AM Presents:

“Bike For Books” Program Registration Form

Fill out and return this form (for each book you read) to the Aztec Public Library. 

Aztec Public Library 
319 S. Ash 
Aztec, NM 87410 
334-7657 

http://www.azteclibrary.org/
 

NOTE: Library Staff will review all entries. 

Date__________________________ 

MUST BE BETWEEN KINDERGARTEN – 12 GRADE TO ENTER. 

By signing this form you also give the Aztec Public Library permission to use your photo and or book summary for the newspaper. 

Name:____________________________________________ 

Address:____________________________________________ 

Age / Grade Level: _____________________________________ 

Child’s Name:________________________________________________ 

Parent(s) Signature:________________________________________________

Give a brief description of the story. The description should include: The setting, the characters, your favorite part, etc. Close with your opinion of the book and whether or not you would recommend the book to others. 

Book Title:________________________________________________ (If you need more space you may write on the back of this form)