Program Registration
Date: Wednesday, June 14th @ 7:00pm
Where: Historical Hall, Village Green, Bedford, NY
Phone: 914-234-3570
This form is for the Wind Chime and Wind Spinner only. Children who wish to participate in the Lego portion do not have to register.
Email address
Create a Unique Wind Chime or Wind Spinner/Summer Reading Kickoff
Name
Child's first and last name
Your answer
Child's age
Child's Age
Your answer
Phone number
Your answer
Address
Street address, town
Your answer
What State do you live in?
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Submit
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