Story Time Plus - Tuesdays (ages 2 1/2-5 yrs)
The Fall Session runs from September 19th through December 15th.
*
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)
*
2
. Child's age
Child's age
*
3
. Child's birthdate
Child's birthdate
Month
Day
Year
*
4
. First and last name of Parent or Caregiver accompanying the child
First and last name of Parent or Caregiver accompanying the child
*
5
. Address
Address
Street Address
City
*
6
. Telephone
Telephone
*
7
. Telephone number of another parent/caregiver for emergencies
Telephone number of another parent/caregiver for emergencies
*
8
. 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
9
. If you answered yes, please comment:
If you answered yes, please comment:
10
. E-Mail Address (only if you prefer we contact you this way)
E-Mail Address (only if you prefer we contact you this way)
*
11
. Thank you for registering!
I understand that parents/caregivers must remain in the library at all times with children aged ten and under.
Thank you for registering! I understand that parents/caregivers must remain in the library at all times with children aged ten and under.
I agree
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