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Earth Week - Waiting List
2pm/
In the Children's Room
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* Indicates required question
Participant First & Last Name (one participant only)
*
Your answer
Age: (Must be between the ages of 4-12)
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Your answer
Phone Number
*
Your answer
Email: (If you don't have one, please put n/a)
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Your answer
I understand this is a waiting list for activities during Earth Week. Selecting the dates and programs below means if we have cancellations, you will be contacted in order of signing up.
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Yes
Required
Please add this child to the waiting list for the following days
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Tuesday - Master Gardeners
Wednesday - Bird Feeders
Thursday - Earth Canvas
Friday - Challenge Island 12:30pm Session
Friday - Challenge Island 2:00pm Session
Required
How did you hear about this program?
*
Sign or promotion at the library
Library e-mail
Library Web site
Social Media (Instragram or Facebook
Local News Outlet
Word of Mouth
Other:
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