*PNG Waiting List: Fall 2018*
*The fall 2018 session of Project Next Generation has been filled to capacity. If you would like to be added to the waiting list, please complete this form. Thank you!
First Name of Participant *
Your answer
Last Name of Participant *
Your answer
Age *
Your answer
Gender
Current Grade *
School *
Has your child participated in PNG in the past? *
Does your child have any food allergies? *
If yes, please list.
Your answer
Name of Parent/Guardian *
Your answer
Email Address of Parent/Guardian *
Your answer
Phone Number of Parent/Guradian *
Your answer
Would you like to join the PNG email list? *
Receive an email when PNG registration opens and occasional notices about other relevant library activities.
I understand that my child will have supervised access to the Internet. The Carbondale Public Library does not control the content of the Internet. *
Required
I understand that my child may be photographed for the purpose of documenting and/or promoting the PNG program. *
Required
The PNG program occasionally includes walking field trips to off campus locations. (Parents will be informed ahead of time.) I give permission for my child to leave the Library with PNG staff for scheduled field trips. *
Required
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