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.
Full Name (Who the kit is for)
Is Ellenville Public Library and Museum your home library?
Do you have a library card?
Yes (If yes, please answer the question below)
What are the last 6 digits of your library card number, if you currently have a card?
I am signing up for
The Weekly Adult Program Kit
The Weekly Teen Program Kit
The Weekly Children's Program Kit* (Please answer the below age question)
How old is the child who will be using the kit?
I would like to sign up for:
This Week's Program Kit to Try
All Program Kits
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