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? * Story-time with Ms. Monique - September 23rd 10:30am Online Storytime - September 23rd 9:30am Story-Time with Guest Reader - September 30th 10:30am Family Story-time with Ms. Monique - October 7th 10:30am Family Story-Time with Ms. Monique - October 14th 10:30am Family Story-Time with Ms. Monique - October 21st 10:30am Family Story-Time with Ms. Monique - October 28th 10:30am Costume Party Story-Time with Ms. Zimmerman October 29th 10:30am Books for Babies - Oct 12th, Oct 19th, Oct 26th, Nov 2nd 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!
