Registration for Children's Programs Form

Child's name:


Age:


Phone:


Parent's email:


Parent's library card number:


Program Title:


Date of program:


How did you learn of program? (check all that apply):
Library Newsletter
Library Email
Youth Services Flyer
Friend
Word of Mouth
Other

Please tell us other sources:


Space is limited in some programs. Registrations will be filled in the order that they are received. Library staff will contact you to verify your registration.