Please fill out one registration form per child. Thank you! Parent's/Guardian's Name Required Child's Name Required Child's Age Required Child's Grade Level Required Phone Number Required Address Address 1 Address 2 City State/Province Country United States Postal Code Any Allergies? Required Emergency Contact- Name & Phone Number Required Please enter YES or NO below if it is okay for the library to use photos for the library's website and Facebook page. Required Please enter YES or NO below if your child will be attending the first program on Monday, June 5th from 10:00 A.M.-11:00 A.M. Required Submit Registration Form