Pages With Pets Pre-Registration
This is a free animal education and reading program offered by the Animal Protection Center of Southeastern Massachusetts. This program is held in the education room of the APCSM and there will be interaction with live animals. We would advise children with allergies or a fear of animals not to participate. While we take care to closely supervise the interactions there is always a possibility of a scratch or bite so we ask parents to actively supervise their children.
Email address *
Parent/Guardian's Name *
Your answer
Email *
Your answer
I would like to register for: *
Number of Children
Child 1 Name
Your answer
Child 2 Name
Your answer
Child 3 Name
Your answer
Child 4 name
Your answer
Child 5 Name
Your answer
I would like to receive information about more programs and events at the APCSM.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Kokkotos Family. Report Abuse - Terms of Service - Additional Terms