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All Together Now Greeley County Library Summer Reading Program June 7 - June 28, 2023
Register your child below. If your child does not have a Greeley County Library card, please stop in or call to arrange for one by June 3. Thank you!
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CHILD'S FIRST NAME
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Your answer
CHILD'S LAST NAME
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Your answer
GRADE COMPLETED
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Your answer
MAILING ADDRESS
Your answer
PARENT/CAREGIVER'S NAME & PHONE NUMBER/S
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Your answer
Choose One
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Completed Preschool and younger
Completed Kindergarten - 2nd Grade
Completed 3rd Grade and up
PLEASE LIST ANY ALLERGIES OR MEDICAL CONDITIONS WE MAY NEED TO ACCOMODATE FOR YOUR CHILD.
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Your answer
DO YOU GIVE PERMISSION TO HAVE YOUR CHILD'S PICTURE PUBLISHED IN THE LOCAL PAPER?
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Yes
No
DO YOU GIVE PERMISSION TO HAVE YOUR CHILD'S PICTURE PUBLISHED ON THE LIBRARY WEBSITE/FACEBOOK PAGE?
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Yes
No
I AM AWARE OF ALL THE ABOVE AND GIVE MY PERMISSION FOR MY CHILD TO PARTICIPATE IN THE GREELEY COUNTY LIBRARY SUMMER LIBRARY PROGRAM.
NAME OF RESPONSIBLE PARENT/GUARDIAN
:
*
Your answer
Program information: Check
www.greeleycolibrary.info
on the web or Greeley County Library on Facebook for information regarding group meetings, craft days, and special programs.
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