* 1. 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

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

* 4. Telephone

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

* 6. Does your child have any health-related problems or allergies (food, crayon, glue, etc.) that would limit class participation?

* 7. If you answered yes, please comment:

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

* 9. Thank you for registering!

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