2025-2026 Story Hour Registration Form 
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Child's Name (First, Middle, Last) *
Address *
City *
Phone Number *
Date of Birth: *
MM
/
DD
/
YYYY
Age  *
Parent(s)/Guardian(s) *
Email Address *
Allergies *
If Yes, Allergic To: 
If another person besides parents will be bringing the child to Story Hour, please fill out the following information:
Name
Phone Number
Address
Email Address
Name
Phone Number
Address
Email Address
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