Program Registration Thank you for taking interest in our program! Please give us little information about you and we will get back to you right away! Contact Name * Please give us first and last name of the person we will be contacting if there is changes to this program. (Parent, Guardian, Adult participant etc.) Participant(s) Name and Age (if under 16) * Please give us the participant's name and age. If there is more than one participant please separate with a ; (example: Dorothy Gale- 15; Matilda Wormwood -7; Valerie Fizzle) Phone number * E-mail address * Which program would you like to sign up? * New comers Board game night - Tuesdays 7pm Jan 10th to Feb 28th Family Story-Time - February 3rd 10:30am Family Story-Time - February 10th 10:30am Big Reads - February 15th 4:30pm (Ages 7-12) Family Story-Time - February 17th 10:30am Family Story-Time - February 24th 10:30am Other information Use this space freely to either ask us a question regarding program(s) that you are signing up for or give us information, how many participants in each program. Leave Blank
Thank you for taking interest in our program! Please give us little information about you and we will get back to you right away!
