EventKeeper : EK Form
1 Homer Township Public Library District

2014/05/14 : CHESS AND CHECKERS CLUB
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Event CHESS AND CHECKERS CLUB

Wednesday May 14, 2014 : 05:00 PM - 06:00 PM

Library

Please complete the following form and click on the Send button below.

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...

   
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This page last updated : 7.9.2a - 2014.05.07 1:00 PM
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