PBS Wisconsin Education Summer Activity Booklet

Thank you for your interest in the PBS Wisconsin Education Summer Activity Booklet. Please, only one response per library. If you have any questions about this form or delivery of the booklets, please contact education@pbswisconsin.org. Booklets will be shipped to libraries or system location in early July.

1. What is your first and last name? *This question is required.

First Name
Last Name

2. What is your title? *This question is required.

3. Please enter your email address. We will send you a shipping confirmation when your booklets are sent. *This question is required. This question requires a valid email address.

4. Please enter your phone number.

6. Please select your library. *This question is required.

7. Please select the shipping address for your library. If you would like your booklets sent to an alternate address please select your library and then enter the alternate address on question #9. *This question is required.

8. Please select which Wisconsin Public Library System you are a member of. To view the system map please click here. *This question is required.

9. If you would prefer to have your booklets sent to an alternate address instead of the shipping address above please enter it below.