Charlotte's Web Mobile Children's Library Bookmobile Visit Request Form
Please request visits at least 3 months ahead of desired stop. If you would like to speak with the bookmobile librarian please contact Rachell Frazian at (805-875-8774) or email r_frazian@ci.lompoc.ca.us
What is the date of your community event or if a teacher or school what what is your preferred date? *
Your answer
Today's Date *
MM
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DD
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YYYY
What time would you like the bookmobile to arrive? Please consider set up and break down time for our librarian. *
Your answer
Are you in need of Bilingual Services? *
Include age and size of group. *
Please include any information you think may better help the librarian in planning a stop at your location.
Your answer
If so, do you have a translator on site? *
What is the name of your organization, school, etc? *
Your answer
If we're booked on this date, do you have any alternate availability? Please list three *
Your answer
Would you need to create library cards ahead of a visit? Library cards require applications and a length of at least 1 month prior to visit to be completed. *
Required
Are you a new or existing bookmobile stop? *
What is the nature of the stop? *
Please let me know the name of your school, group, club, etc.
Your answer
The Lompoc Public Library System's chief concern is the safety, education and well-being of the community. We are approximately 30 feet long. All locations will be scouted for safety prior to visits and before approval of each new visit.
Address, Parking and Location of Stop
Please include any information regarding parking at your location that would be important for the bookmobile driver to know. For example any areas that the bus can not park and/or if you have the ability to cone off an area ahead of a visit. *
Your answer
*
Your answer
Are there any "busy" times at your location such as pick-up, drop-off and/or buses schedules that would interfere with the bookmobile stopping safety at your location?
Time
:
How did you hear about the bookmobile? *
Your answer
Your Name and Professional Title: *
Your answer
Preferred contact method *
Required
Time
:
Phone number
Your answer
Street Address *
Your answer
Questions and comments
Your answer
E-mail *
Your answer
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