All LCLS locations will be closed Monday, October 12, for an in-service day.

Bookmobile Request Form

Bookmobile Request

Organization/School Name

Contact Person/Teacher Name

Contact’s Phone Number

Contact’s Email Address

Name of Event

Location of Event

Grade/Age of Children (if applicable)

Number of Children (if applicable)

Number of Adults (if applicable)

Date of Outreach

Time of Outreach

Length of Time

Description of Request

Confirmation Needed by what Date?

If you are human, leave this field blank.