Funday Monday/Middle Grade Book Club Registration

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Please complete one form for your family.

Email *

Which sessions are you registering for? *

WAITING LIST ONLY Monday, June 6, 10-11:30 a.m. (Ages 4-10)

WAITING LIST ONLY Monday, June 13, 10-11:30 a.m. (Ages 4-10)

Monday, June 20, 10-11:30 a.m. (Ages 4-10)

WAITING LIST ONLY Monday, June 28, 10-11:30 a.m. (Ages 4-10)

WAITING LIST ONLY Middle Grade Book Club June 6 and 20 and July 11, 1-2:00 p.m. (Ages 9-12)

Required

Parent/Responsible Adult's Name *

Email and Phone Number *

Child(ren) attending and ages (specify which child, which session) *

Emergency contact name and phone number *

Allergies or other special considerations *

I give my permission for my child(ren)'s photographs to be posted on social media, Chapters' website, or in local newspapers. No identifying information other than first name will be used online, and only activities at Chapters' events will be recorded and posted. *

Yes

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