Bookshare  Service Request Form

The Bookshare program puts books into the hands of kids in family child care and daycare centers while supporting the development of early literacy skills. Once a month a box of books is brought to child care facilities. To enroll in the Bookshare program, check the boundary map to see that your child care site is in the service area and then complete this form.

    Name of Child Care

    Contact Person

    Street Address

    City

    State

    Zip Code

    Your email

    Telephone (enter phone number in xxx-xxx-xxxx format)

    Website

    Check all that apply

    Total number of children in your care:

    Ages of children in your care: (check all that apply)

    Is there anything else you would like us to know about your child care site?

    Thank you for your request to enroll in our Bookshare program.

    Bookshare Service Area

    Map of the boundaries of the Bookshare Service Area

    Map of CMBCL BookShare service area, entirely within Washington County is bounded by Springfield Road on the north; SW 185th Avenue on the west; SW TV Highway on the south; Highway 217, Barnes Road, and Miller Road on the east; and Washington/Multnomah County line to the northeast.

    Bookshare  Service Request Form

    The Bookshare program puts books into the hands of kids in family child care and daycare centers while supporting the development of early literacy skills. Once a month a box of books is brought to child care facilities. To enroll in the Bookshare program, check the boundary map to see that your child care site is in the service area and then complete this form.

      Name of Child Care

      Contact Person

      Street Address

      City

      State

      Zip Code

      Your email

      Telephone (enter phone number in xxx-xxx-xxxx format)

      Website

      Check all that apply

      Total number of children in your care:

      Ages of children in your care: (check all that apply)

      Is there anything else you would like us to know about your child care site?

      Thank you for your request to enroll in our Bookshare program.

      Bookshare Service Area