Childs Name ________________________

I am ready to take an AR test.

The title of the book is ______________________________________.
The author of the book is _____________________________________.
Check one:
______

Someone read this book to me.

______

Someone helped me read this book.

______

I read this book by myself.

I received

______

out of ________.

________________________
parent signature
********************************************************************************
Childs Name ________________________
I am ready to take an AR test.
The title of the book is ______________________________________.
The author of the book is _____________________________________.
Check one:
______

Someone read this book to me.

I received

______

______

Someone helped me read this book.

out of ________.

______

I read this book by myself.

________________________
parent signature
********************************************************************************
Childs Name ________________________
I am ready to take an AR test.
The title of the book is ______________________________________.
The author of the book is _____________________________________.
Check one:
______

Someone read this book to me.

______

Someone helped me read this book.

______

I read this book by myself.

________________________
parent signature

I received

______

out of ________.