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
Your answer
Student First Name
Your answer
Age of Student
Your answer
Grade of Student (in September 2017)
School (2016-2017)
Parent/Guardian Last Name
Your answer
Parent/Guardian First Name
Your answer
Parent/Guardian Phone Number (in case of emergency)
Your answer
Parent/Guardian Email Address
Your answer
Additional Contact Person (in case of emergency): Last Name
Your answer
Additional Contact Person (in case of emergency): First Name
Your answer
Additional Contact Person (in case of emergency): Phone Number
Your answer
Additional Contact's Relation to Child
Your answer
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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