Summer Reading Registration

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Name of Child *

Grade your child will be in the Fall 2023 *

Name of Child

Grade your child will be in the Fall 2023

Name of Child

Grade your child will be in the Fall 2023

Phone Number of Parent or Guardian *

Emergency Contact:

(Person to Contact during the Program if an emergency should arise)

Please include Name, Relation to Child, & Phone number

*By submitting this form you are agreeing to your child being photographed during summer reading activities. Photos may appear on any of the Stromsburg Public Library's social media or webpages. If you do not want your child included in pictures please let us know below.

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