EventKeeper : EK Form

1	Cheshire Public Library 2013/02/19 : It's Okay To Be Different	1
1	[CLOSE THIS WINDOW]	1

Event	It's Okay To Be Different Tuesday February 19, 2013 : 10:00 AM - 11:00 AM Mary Baldwin Room Main Level

The event is full but you may still submit this form to be placed on the waiting list.

To	Sue Hartley
	shartley@cheshirelibrary.org
Subject	Children's Registration Information

Child(ren's) First Name *
Child(ren's) Last Name *
Adult Email
Adult Phone*
Number of Children*
Age of Child(ren)^ *

Password	Create a password or enter existing one Why?
Thanks! Image Use Statement: In consideration of your participation in Cheshire Public Library programs, occasionally photos and/or video are taken during programs. Some of these photos/videos may contain images of you or your child. The images taken on occasion are used for our program advertisements, department newsletters, submitted for content on the official Cheshire Library website, or used in local newspapers. For more information regarding these images please contact the Cheshire Library at 203-272-2245.

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This page last updated : 7.8.8.4 - 2013.04.13 7:00 AM
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