Raise a Reader All Programs Registration

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This registration form is to register your child ages 0-5 for in-person or virtual programs. In-person programs will be offered at all local public libraries. Virtual program times will vary based on need. You can register up to five children with this form. Additional information may be requested from you at a later time.

Email *

Parent/Provider Full Name *

Email *

Phone Number *

Preferred Method of Contact *

Phone

Both

What city do you live in? *

Name of Participating Child *

Age of Participating Child *

0-18 months

18-36 months

3-5 years

What program would you like your child to participate in? *

In-person program

Virtual only

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