2019 Little Dixie Regional Libraries Program Attendance
For Library Staff Only -

Please use this form to provide information about the monthly programs your library branch is participating in. Questions?

Please contact Katie Long or Rachael Grime at the Moberly Library (660.263.4426)
Date of Program *
MM
/
DD
/
YYYY
Branch Library Hosting Program *
Staff Member giving remarks/ hosting program *
This program was created mainly for... (mark all that apply) *
Required
Type of Program *
Required
Reading Groups
Story Times
Number of Child (ages 10 and below) Attendees
Your answer
Number of Tween & Teen (ages 11-19) Attendees
Your answer
Number of Adult Attendees
Your answer
Number of total attendees (use only if ages are unknown)
Your answer
Where did this program take place? *
Was this program for Summer Reading?
Title of Program (Summer Reading programs only, used for grant report) Examples: Summer Reading Launch Party, Art in the Park, Preschool Story Time, Teen Craft Time
Your answer
Short Description of Summer Reading Program (Summer Reading programs only, used for grant report) Example: Patrons ages 8 to 12 learned about nebula, then participated in several nebulae and star-themed crafts including nebula jars, space slime and chalk art.
Your answer
Length of Program
This is only needed for programs during the summer, for the grant.
Comments? Remarks?
Your answer
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