First and Last Name of Parent/Guardian (for children only)
What age category does the participant fit in?
Phone Number Contact with Area Code, in case of prize notification. If you just entered this info for another child/household member you can enter 'same' (you must enter something to complete the form). *
Email Contact (for prize notification or updates only). If you just entered this info for another child/household member you can enter 'same.' *
Can we add your email to our once a month library newsletter (you can unsubscribe at any time)?
Anything else you want to add? *
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