Valentine Storytime - Tuesday, February 14 @ 10:30 am (Ages 1.5-5)

 

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1. Child’s name or nickname (please indicate the name your child would like to have the librarian use when taking attendance)

Child’s name or nickname (please indicate the name your child would like to have the librarian use when taking attendance)

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2. Child's age

Child's age

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3. First and last name of Parent or Caregiver accompanying the child

First and last name of Parent or Caregiver accompanying the child

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4. Telephone

Telephone

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5. Emergency Telephone

Emergency Telephone

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6. Does your child have any health-related problems or allergies (food, crayon, glue, etc.) that would limit class participation?

Does your child have any health-related problems or allergies (food, crayon, glue, etc.) that would limit class participation?   Yes

No

7. If you answered yes, please comment:

If you answered yes, please comment:

8. E-Mail Address (only if you prefer we contact you this way)

E-Mail Address (only if you prefer we contact you this way)