Caregiver's name (the person who will be with the child on Zoom during the program) *
Your answer
Phone #: *
Your answer
Alternate Phone #:
Your answer
What library would you like to pick your BINGO cards up at? (Pick-up is the week previous to the program unless otherwise arranged. You will be contacted either way to let you know the cards are ready). *
How did you hear about the program? *
Required
Would you like to receive our monthly library newsletter which includes information on upcoming children's programming? *
If you would like to add any other information, please do so here. Thank you!