* 1. Check the date(s) you will attend.

* 2. Family's last name

* 3. Child's Name

* 4. Age of child or teen

* 5. Grade child or teen is entering

* 6. First and last name of caregiver or parent if under 10 years of age.

* 7. Telephone

* 8. Emergency Telephone

* 9. Does your child have any health-related problems or allergies to food, glue, crayons, etc.?

10. If you answered yes, please comment:

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

* 12. Thank you for registering!

I understand that parents/caregivers must remain in the library with children aged ten and under.

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