2019 Collaborative Summer Library Program
Email address *
Full name of child *
Your answer
Full name of parent/guardian *
Your answer
Phone number (This number may need to be used in case of an emergency during the Summer Library Program) *
Your answer
Please provide an alternate contact information with phone number in the event of an emergency.
Your answer
Age of child *
Your answer
Any concerns or information the staff should know about
Your answer
I plan on participating in the following group *
I plan on participating during the following weeks *
All children who register before June 18, 2019 will receive a free Summer Reading Program T-shirt!
Photo Policy: Children and adults participating in the 2019 Collaborative Summer Library Program (CSLP) may be photographed by newspaper or television reporters/photographers, library staff members, or others involved with the program. These photography may appear without compensation in newspapers or in productions, publications, on the web and/or other printed or electronic materials related to the role and function of the Angie W. Cox Public Library. *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service