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EventKeeper : EK Form
Derby Public Library
About the New Look
2023/04/13 : KELLOGG ENVIRONMENTAL CENTER Presents: Insects in the Garden (Ages 5-10)
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Event
The Kellogg Environmental Center Presents: Insects in the Garden (for All Ages/Families)
Thursday April 13, 2023 : 10:30 AM - 11:30 AM
Meeting Room
Action
Please complete the following form and click on the
Send
button below. PLEASE BE SURE TO REGISTER EACH CHILD SEPARATELY. ALSO, PARENTS/CAREGIVERS DO NOT NEED TO BE REGISTERED, ONLY THEIR CHILDREN.
To
Reference Desk
dplreference@biblio.org
Subject
REGISTRATION FOR KELLOGG INSECT PROGRAM
1st Name of Person Registering *
Last Name/Family Name *
VALID EMAIL *
VALID Phone Number *
# Attending (including you) *
Password
Create a password or enter existing one
Why?
Thanks!
To submit this form, please click on the Send button just once...