Program Kit Request Form
Please only order one kit per person. This form is meant to sign one person up for a program kit at a time. If you would like to reserve a kit for another person, please fill out this form again.
Email address *
Full Name (Who the kit is for) *
Phone Number *
Is Ellenville Public Library and Museum your home library? *
Do you have a library card? *
What are the last 6 digits of your library card number, if you currently have a card?
I am signing up for *
How old is the child who will be using the kit?
I would like to sign up for: *
Submit
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