Cumberland County Literacy Council

Imagination Library Storytimes

Storytime Registration Form

For Children Ages 0–5

Thank you for joining us for Storytime! Please complete this registration form.
The demographic information collected helps us understand who and where we are serving in the community and ensures we are reaching a broad audience of families.

Please note that there will be multiple dates and times on this form. 

Each Month will be updated on the 1st Monday.

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Parent/Guardian Information
Parent/Guardian Name: *
Email Address: *
Phone Number: *
Attendance Information
Number of children attending with parent/guardian *
Event(s) Attending *
Required
Demographic Information
(Optional – for program reporting purposes only)
Race/Ethnicity
Zip Code of Residence:
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