Holiday Hours & Closures

The Library will have reduced hours and closures during the upcoming holiday season. View all branch hours »

Reading Buddies

Child Application Form

CHILD'S INFORMATION

Child's First Name

Gender

Female
Male
Other/Prefer not to say

Child's Last Name

Date of Birth

(Day-Month-Year)

What school does your child attend?

Grade

1
2
3
4

Child's Library Card Number

Please list the languages your child speaks

Is this child in an Individual Education Program (IEP)?

Yes
No

If yes, can we contact their Resource Teacher for input?

Yes
No

Name of Resource Teacher

Resource Teacher's Email

PARENT / GUARDIAN INFORMATION

Parent / Guardian First Name

Parent / Guardian Last Name

Home Phone Number

Work Phone Number

Library Card Number

HOME ADDRESS

House Number, Street, (Unit number)

City

Postal Code

Which Reading Buddies session would you like your child to attend? Select all that apply.

Tuesday Poirier Sessions
Thursday City Centre Sessions

Spaces for the Reading Buddies program are limited. Eligible children will be selected on a first come, first serve basis.

Failure to attend one session (without prior notification) will be met with a warning. If the child is absent from a second session, his or her spot will be given to someone on the waiting list.

We acknowledge with gratitude and respect that the name Coquitlam was derived from the hən̓q̓əmin̓əm̓ (Hunquminum) word kʷikʷəƛ̓əm (Kwikwetlem) meaning “Red Fish Up the River”. The Coquitlam Public Library is honoured to be located on the kʷikʷəƛ̓əm traditional, ancestral and unceded lands, including those parts that were historically shared with the q̓ic̓ əy ̓ (Katzie), and other Coast Salish Peoples.

Our Commitment

Reading Buddies

Child Application Form

CHILD'S INFORMATION

PARENT / GUARDIAN INFORMATION

HOME ADDRESS

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