Read, Renew, Repeat ~Children's Registration

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This form is for Ages 3-12. Sign your child up for the Lamoni Public Library's Summer Programming.
Make sure to pick up a FREE goodie bag at the library with your reading log and to check out our website (lamonilibrary.org) for the Summer Program Calendar.

First and Last Name of Child *

First and Last Name of Parent/Guardian *

Age *

Going into which grade? *

Pre-K

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Other:

Parent/Guardian phone *

Parent/Guardian email

Do you plan on attending any of our STORYTIME Events? (check all that apply) *

These are Storytime programs ONLY held on Wednesday mornings at 10am.

Crafts and activities will be provided at each storytime!

Mark dates you HOPE to attend.

06/19 Read Renew Repeat

06/26 Endangered Animals and Pollinators with Kayla Clausen

07/10 Bees Bugs & Bettering the Outdoors with Jason Smith

07/17 Nature Day! A moring full of crafting stations and more!

Not interested

Required

Do you plan on attending our other Summer Events? *

This includes: Science Heroes, Magic Show, and Exotic Reptile presentation and events outside of Wednesday morning storytimes.

Yes

Maybe

Any allergies to food or art materials? (please specify)

Other thoughts or comments

If you DON'T want pictures of you child on Facebook or the Newspaper please make note here.

Submit

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