Caregiver's name (the person who will be with the child/children during storytime) *
Your answer
Phone #: *
Your answer
Alternate Phone #:
Your answer
For this program, all participants will need a bells or a tambourine. We can provide this in advance if this is needed. Do you need bells lent from the library? *
How did you hear about the program? *
Required
Do you approve of screenshots being taken of your family for usage in library media? *
Would you like to receive our bi-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!
Your answer
A copy of your responses will be emailed to the address you provided.