2017 Fall - Closter Public Library Wednesday Read to Dogs - Registration.
This is the Fall Registration form for Toddlers up to PreK. In order to give all children an opportunity to participate, we may impose a 4 program limit. Your child's name will then be put on the wait list.
Email address *
Patron Contact Information
We use Parent contact information to advise you if you have successfully been registered and if an opening in the class occurs when you are on the waiting list. Please make sure your email is accurate, since that is the fastest way we have of contacting you. If you enter the email incorrectly we cannot contact you.
Child's Last Name: *
(example: Smith)
Your answer
Child's First Name: *
(example: Jane)
Your answer
Parent's Last Name: *
(example: Smith)
Your answer
Parent's First Name: *
(example: John)
Your answer
Child's Age or Grade if enrolled in school: *
(example: 36 mo)
Your answer
Address: *
(Street Address, Town, State)
Your answer
Phone number example:(201-555-1212) *
Your answer
Wednesday Read to Dogs - 3:45pm
Join Gracie and Lars on Wednesdays: 10/4; 10/18; 11/1; 11/8; 12/6 and 12/13 - (Confirmation status will be emailed by 9/20/17)
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