5000 ekform.cfm:459
EventKeeper : EK Form
Plumb Memorial Library
About the New Look
2022/06/24 : Summer Program 2022: Children Registration (ages 3-12)
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Event
Summer Program 2022: Children Registration (ages 3-12)
Friday June 24, 2022 through Friday July 15, 2022
10:00 AM
Action
Please complete the following form and click on the
Send
button below.
To
Plumb Memorial Library
lfuller@sailsinc.org
Subject
SLP 2022 CHILDRENS REGISTRATION - one child per form
Child First Name *
Child Last Name *
Email (Parent or Guardian) *
Phone (Cell Preferred) *
Age of child *
Caregiver name *
Food Allergy? Please list.
Permission to post pictures? Yes or No *
How did you hear about this program? *
Fall 2022 School and Grade of child *
Past Summer Program participant? Yes or No *
Thanks!
To submit this form, please click on the Send button just once...