2018 DAYCARE CENTER REGISTRATION for Summer Reading Program
This is the registration form for centers bring large groups of children. Please provide plenty of adult supervision for your children. Teachers/Caregivers will need to supervise, participate and assist children as needed during our programs. If you need to cancel attending any events please let the Library know ASAP.

Photos will be taken at the Vicksburg District Library's events. Photos and videos that appear on the Vicksburg District Library’s website and promotional materials may be gathered from public programs, events, and library spaces. Attendance at Vicksburg District Library programs, events, or library spaces constitutes consent to be photographed for use in print and/or electronic publicity for the Vicksburg District Library. To ensure the privacy of individuals and children, images will not be identified using full names or personal identifying information without written approval from the photographed subject, parent, or legal guardian.

Thank you!

Center Name: *
Your answer
Center Address: *
Your answer
Center Phone Number: *
Your answer
Contact Person: *
Your answer
Contact Email: *
Your answer
Contact Cell Phone: *
Your answer
Estimated Number of Children Attending: *
Your answer
STORY TIME ... Programs are for children ages 5 and under. If you are planning on bringing more than 5 children to story time please contact Stephanie at 648-1649. We will need to schedule a special story time for your group.
FAMILY PROGRAMS ... Please select the events your center will be attending. Events are for children who have completed B/K & Kindergarten-fifth grade. Caregivers must be present at all events. ***Please note that we have maxed out our number of participants for Nelson's Wildlife Safari. We are unable to take any more participants for the program. Thank you for understanding.***
MOVIES & POPCORN ... Please select the events your center will be attending. Bring your own drinks and any blankets/pillows. Caregivers must be present at all events. Events are for children who have completed B/K & Kindergarten-fifth grade
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