"Universe of Stories" Summer Library Program Registration Form
Please use this form to signup for Summer Library Program. Children ages 3 through 4th grade may register.
Name of child (first & last) *
Adult Contact Name & Phone Number *
Grade completed this year (2019) *
Any allergies or special health concerns? *
Which session do you prefer on June 4th? *
I understand that the Lane County Library may photograph or videotape events or activities in which my child is participating and that they may be published. (newspaper, library blog, library's facebook page, etc.) *
Required
To complete the enrollment *
Please be sure the information is correct. To complete your registration you will need to come into the library to receive further information.
Required
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