Build a Better World 2017
Welcome to the online sign-up form for the Bellaire Public Library's 2017 Summer Program: Build a Better World! We are excited to have you commit to a summer of great reading and awesome programs. You can sign up online by filling out the form below. You can also sign up by stopping in the library any time from June 1st - June 30th. The summer library program is FREE and is open to all school-age children. Younger children (ages 3 and up) are welcome to participate in the program, but please note that activities are geared toward children ages 5 and up.

Summer Library Programming will take place on Fridays; please see our website/Facebook for times. Summer storytime for ages 3-6 will take place on Wednesdays at 11:00. We will also have teen programming (for ages 12-18, still in school) on Monday evenings. Please see our website for more information and a complete schedule of events: http://bellaire.lib.oh.us. If you have any questions, please call 740-676-9421 or email bbumgardner@seolibraries.org. You can also visit our Facebook page for information about our summer events at http://www.facebook.com/BellairePublicLibrary. Thank you so much for your interest in our summer library program. We look forward to seeing you at the Bellaire Public Library!

Please fill out a separate form for each child or teen. Beginning June 1st, you can stop in the library to pick up your registration packet. Just let the library staff know that you registered online.

Child's Name
Your answer
Child's Age
Your answer
Parent/Guardian Name
Your answer
Address
Your answer
Phone Number
Your answer
School + Grade (September 2017)
Your answer
Choose One: My child is...
My child has permission to participate in the 2017 Summer Library Program at the Bellaire Public Library, with permission to receive small prizes for participation, enter the raffle ticket giveaways, and attend programs.
Does your child have permission to be in photographs and/or video while attending library programs?
Photographs/videos are sometimes taken during programs and activities and shared via our website or Facebook.
Signature - please type your full name and the date to act as your signature on this form.
Your answer
Parent's Email Address (for registration confirmation)
Your answer
Would you like to receive newsletters with programming information?
If so, please include your email address in the previous question.
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