Dolly Parton's IMAGINATION LIBRARY
Official Registration Form - Beaufort County, South Carolina
This information will not be used for any purpose other than those related to the IMAGINATION LIBRARY.
For more information about this project visit https://bit.ly/DollyPartonBeaufortSC

Born To Read Inc | borntoread@hargray.com | 843-379-3350 | www.borntoread.org
Born To Read Inc - Beaufort County, South Carolina
First Preschool Child's Full Name (Type first and last name)
First Preschool Child's Date of Birth
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First Preschool Child's Gender
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First Preschool Child's Home Address - Please include Street, City, State, Zip Code
First Preschool Child is a Resident of Beaufort County, SC
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Second Preschool Child's Full Name (Type first and last name)
Second Preschool Child's Date of Birth
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Second Preschool Child's Gender
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Second Preschool Child's Home Address - Please include Street, City, State, Zip Code
Second Preschool Child is a Resident of Beaufort County, SC
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Parent/Guardian's Full Name
Parent/Guardian's Home Address - Please include Street, City, State, Zip Code
Parent/Guardian's Phone Number
Parent/Guardian's Email
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