Books Between Kids · Book A Month Application

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Book A Month Application

Books Between Kids and the YMCA of Greater Houston are local program affiliates of Dolly Parton’s Imagination Library. Through our “Book A Month” program, the Dolly Parton Imagination Library will mail a new book in your child's name directly to your home each month until the child's 5th birthday.

Best of all it is FREE! There is NO cost or obligation to your family.

FIRST Name of Child

LAST Name of Child

Child's Gender

Please select the child's gender.

Male

Female

Child's Date of Birth

Child MUST be born BEFORE November 2016 to participate in this program.

Child's Mailing Address - Please Include apartment number if you have one.

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Is your child enrolled at one of these childcare centers?

Baker Ripley

Collaborative for Children

Houston ISD

Welcome Baby

None of the Above

If HISD, please write the name of the school.

FIRST Name of Parent

LAST Name of Parent

Parent's Phone

Parent's Email

Participation in the Program

With your registration, you consent to allow the Dollywood Foundation, Inc. to use the information provided herein for the purposes of participating in Dolly Parton's Imagination Library book gifting program. To measure the benefits of this program we may create datasets with the information provided herein and share them research and educational advancement partners. You can review our full Terms & Conditions and Privacy Policy by visiting imaginationlibrary.com. By submitting this form you expressly consent to the terms set forth herein.

Yes