February 12th from 4:00pm- 5:00pm

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* 1. Please enter each child's name.

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* 2. Please enter each child's age.
(This Program is intended for children ages 5 and older)

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

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* 4. Telephone

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* 5. Telephone number of another parent/caregiver for emergencies

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

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* 7. Does your child have any allergies? If so, please list. NOTE: No nuts or peanuts will be used in this program; however, the foods used may have been processed in places that use nuts. If food allergies are a concern, we recommend that you consider attending one of our many food-free events.

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* 8. Thank you for registering!

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

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