Harrison County Library System Summer Reading 2022 "Oceans of Possibilities" Registration

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Registration Guidelines:
1. Please register each individual participant separately. If you are registering a group, you must still complete this form for each child/participant.
2. Please register only once per participant.
3. Although you are welcome to attend events at all branches, please choose only one for registration purposes.
4. Questions with a red star are required.

Who is completing this form? *

Participant (for yourself)

Parent/Caregiver (if participant is a child)

Teacher/Instructor/Child Care Provider

Library Branch (CHOOSE ONLY ONE!!!) *

Saucier Children's Library

Biloxi Public Library

Woolmarket Public Library

Jerry Lawrence Memorial Library

Orange Grove Public Library

Gulfport Public Library

Margaret S. Sherry Memorial Library

Pass Christian Public Library

West Biloxi Public Library

Age Group of Participant *

Preschool (age 5 and under)

Elementary (ages 6-11)

Middle and High School (ages 12-17)

Adult

First and Last Name of Participant *

First and Last Name of Parent/Caregiver (if applicable) OR Name of Organization (childcare/camp/etc.) If you are registering yourself, simply type N/A *

Contact Information/ Please provide a phone number or email address here as your preferred method of contact. *

Additional Contact Information (optional)

School (optional)

Do you have a Library Card? (not required to register)

Yes

Clear selection

Library Card Number (if applicable)

Submit

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