"Play to Learn" Parent/Child Workshop Registration

Please complete a separate registration form for each child.

Please select the sessions you will be attending. You must commit to attending 4 of the 5 sessions.(*)

Please select at least 4 of 5 sessions.

Child's Full Name(*)
Please enter your child's name.

Child's Age(*)
Please enter your child's age.

Parent / Legal Guardian's Name(*)
Please enter the parent's name.

Parent/Legal Guardian's Library Card Number(*)
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(Not a registered patron? You must bring your Driver’s License and proof of address to the library and register for a library card before registering for Story Time. If your library card is expired or you owe money to the library, you will not be permitted to register for Story Time until the library card is renewed and all charges are paid.)

Phone Number(*)
Please enter the best phone number to reach you.

Email Address
Please enter your email address.

Street Address(*)
Please enter your street address.

Please enter your city.

Municipality of Residence(*)

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Full Name of Caregiver Bringing Child to Workshop:(*)
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Caregiver's Street Address(*)
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Caregiver's City(*)
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Caregiver's Phone Number(*)
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Please check the box if you agree to the following Photo Release Statement:
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Note: Registration confirmation will not be sent if email address is not provided. Please allow up to 72 hours for confirmation email.

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