APL - Family Place Sign-up - Spring 2020

Please complete this form to sign up for our Family Place Play and Learn Series.

If you've previously attended a Series, please call the Children's Library at 360-299-1974 to discuss attending again.

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* 1. Child's Name

First Name

Last Name

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* 2. Child's Age

1

2

3

Other (please specify)

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* 3. Adult's Name

First Name

Last Name

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* 4. Relationship to Child

Parent

Grandparent

Caregiver

Other (please specify)

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* 5. We encourage families to attend three or more sessions. Please indicate which sessions you will be attending.

April 23rd

April 30th

May 7th

May 14th

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* 6. Adult's Email