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Summer Reading 2017 Registration
June 3, 10, 17, 24 at 10:30 am
Spicewood Community Library • 1011 Spur 191 Spicewood TX 78669
830.693.7892
Please complete one form for each child attending
Child's Name *
Your answer
Child's Current Age *
Your answer
Caregiver's Name *
Your answer
Caregiver's Preferred Contact Method (phone, e-mail) *
Your answer
Members of the Spicewood Community Library or their authorized agents may take photographs or make audiovisual recordings at Library-sponsored events. Such photographs or recordings may be used in promotional materials for the Library. Please indicate below whether you consent to allow your child or other minor under your supervision to appear in such materials.
E-Signature of Caregiver
Your answer
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