EventKeeper : EK Form

1	Homer Township Public Library District 2013/04/10 : CHESS AND CHECKERS CLUB	1
1	[CLOSE THIS WINDOW]	1

Event	CHESS AND CHECKERS CLUB Wednesday April 10, 2013 : 05:00 PM - 06:00 PM Library

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

To	Mia Sevik
	msevik@homerlibrary.org
Subject	EKForm Data

Child's First Name *
Last Name *
Parent's Email Address
Phone Number*
Parents Name *
Parents Library Card Number *
Leave Blank

Password	Create a password or enter existing one Why?
Thanks!

To submit this form, please click on the Send button just once...

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