Children's Programs Registration

 
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1. Child's Name:
*
2. Grade (or Age if registering for storytimes):
*
3. Parent's Name:
*
4. Library Card #:
*
5. Phone Number:
*
6. Email Address:
*
7. City of Residence:
8. I would like to register my child for the following Storytime:
9. I would like to register for the following programs (check all that apply):
10. How did you hear about our programs?
11. Would you like a weekly reminder? (Please choose yes/no AND phone/email)
YesNo
Phone
Email
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