Sign Up for Lake Elmo Library Summer Reading Program 2017
Fill out this form to register your child for the Lake Elmo Public Library Summer Reading Program. This program runs from June 14 to August 18, 2016. Fun activities and programs will take place at the library on Wednesdays at 3:00 PM.
Student Last Name
Student First Name
Age of Student
Grade of Student (in September 2017)
Lake Elmo Elementary
Lily Lake Elementary
Oak Park Elementary
Stillwater Junior High School
Oakland Junior High School
Parent/Guardian Last Name
Parent/Guardian First Name
Parent/Guardian Phone Number (in case of emergency)
Parent/Guardian Email Address
Additional Contact Person (in case of emergency): Last Name
Additional Contact Person (in case of emergency): First Name
Additional Contact Person (in case of emergency): Phone Number
Additional Contact's Relation to Child
Photo Release: Do you consent to the release of your child's photo and/or name in the media and library publications to promote the library?
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This form was created inside of Stillwater Area Public Schools.
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