Shaker Box Registration
Shaker Box is open to children aged 0-6+, and will contain various props for use in Story Time programs.
Children may be registered for one individual Take-out Box only. (i.e. Shaker or Maker, not both)
A separate form is required for each child.
Please register separately for the Summer Reading Tracker online, and read our participation guidelines carefully to avoid disappointment.
Email address *
Child's Name *
Child's Age *
Parent/Guardian Name *
Contact Phone Number *
Is this child also participating in the Summer Reading Tracker program? *
All Takeout Boxes will be available to pick up at the Library Monday, July 6-Thursday, July 9 between 10:00am-4:00pm. PLEASE try to come during these times. Otherwise, please email fsj.src@gmail.com to arrange pick-up. *
Required
A copy of your responses will be emailed to the address you provided.
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