TD Summer Reading Club

Complete the sign up form on this page so we can send you an activity kit by mail or contact you for further information.

Note: * indicates a required field.

Which of the following options describes your situation best?

• I already receive CNIB Library services.
• I receive other types of CNIB services but not library services. Please sign me up. My CNIB number is:
• I will be asking my local CNIB office or my public library to refer me to CNIB Library services. Please watch for my referral.
• None of the above or not sure? Read our FAQ for more information about eligibility and how to sign up for CNIB Library services.

* First name:


* Last name:



* Email address:


* Phone number:

New mailing address if you moved recently:
Street address:

City:

Province:

Postal code:

All activity kits come in large print and audio.
Please indicate if you would also like braille:

• Uncontracted braille
• Contracted braille

Do you also plan to take part in TD Summer
Reading Club activities at your local
public library this summer?

• Yes
• No

How did you find out about the CNIB Library’s
program for the TD Summer Reading Club?
Please select all that apply.

• Postcard from CNIB
• Email, phone message or visit from CNIB
• CNIB website
• Public library
• Word of mouth
• Other - Please explain: