Children’s Program Registration Form

Child's Full Name (required)

Parent/Guardian Full Name (required)

Email (required)

Child's Age

Parent/Guardian Library Card Barcode #

Phone

Program Title/Series Name

Program Session Date/Time Preference: (if only one date, just enter date)

Your Comments

PLEASE NOTE: Sending a Registration Request does not guarantee you a slot in the program. We will contact you regarding your request via email within 48 hours.

For security purposes, please copy this code into the field below