MOUNTAINEER SUMMER READERS

School:
District:
Principal:
Grade Level (circle one for 2016-2017 school year):
Student:

Teacher:

DATE

TITLE OF BOOK, AUTHOR

* DUPLICATE THIS PAGE AS NEEDED

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To the best of my knowledge this student did read these books during summer vacation, and the books
were appropriate to his/her grade level. Please note that no student may win at the county level in
consecutive years, but students are eligible for basketball tickets.

Print Student Name Here:

Signature of Parent:

Date:

Please turn in form(s) to your teacher at the beginning of the 2016-17 school year Deadline is the 1st Friday of the new school year