Prime Time Family Reading Registration

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This registration form is for the Prime Time Reading Program at Corbin Public Library from January 16th to February 20th, 2024. Please fill out all areas of the form. If you have any questions, feel free to email Leah at technology@corbinkylibrary.org.

How many children will be attending the program from your family?

Please list all names and ages of children

Name of Parent/Guardian

Phone Number

One of the features of this program is that there will be childcare provided for children under the age of 6. Will you be bring any children with you that will need childcare?

Yes

Clear selection

If you selected "yes" to the question above, please tell us names and ages of those children.

Please put here any questions that you have about the program!

Submit

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