Imagination Library Registration
Fill out the information below to register your child for Imagination Library.  Please allow 6-8 weeks for the first book to arrive. Children must live in the 54868, 54841, 54857, and 54822 or 54817 zip code to be eligible.  They must also be under the age of 5.  

Questions?  Contact Claire Parrish, or call 715-234-4861.
Sign in to Google to save your progress. Learn more
Child's Full name *
Birthdate *
Gender *
Parent/Guardian's full name *
Email address
Phone number *
Child's Street Address *
Child's Mailing Address (if different)
This child is a resident of zip code 54868, 54841, 54857, and 54822 or 54817.   *
Clear form
Never submit passwords through Google Forms.
This form was created inside of City of Rice Lake. Report Abuse