EventKeeper : EK Form
Norfolk Public Library
2014/01/08 : Baby Time
[CLOSE THIS WINDOW]
Wednesday January 8, 2014 : 10:30 AM - 11:00 AM
Class list will be determined by lottery. Completing this form does NOT guarantee you a spot in the program.
Baby Time Lottery
Child's First Name *
Child's Last Name *
Date of birth (must be 0-12 months old at the start of the session) *
Parent/Caregiver Name *
Are you a Norfolk resident? *
How did you hear about the program?
Word of mouth
To submit this form, please click on the Send button just once...
This page last updated : 7.8.9 - 2013.11.20 10:00 PM
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