Book Buddies Registration - Session #3
4-week session: 11/28 through 12/23

Tuesdays, 3:30-4:30pm

FOR GRADES KINDERGARTEN AND 1ST ONLY
There is a limit of 15 children for any/all afterschool programs.


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Email *
Student Name *
Student's School *
Parent Name *
Phone Number(s) *
Student's Grade *
Parental Consent: 
I understand that I will update PickUp Patrol (or other busing system) each day my child is to attend Book Buddies. This is considered a 'permission slip' for both the School and the Library. Parents/guardians are not required to be present during the program. I understand pickup time is 4:30pm. Snacks are provided by the Library, so I will inform all staff of any allergies or dietary restrictions, and provide my child with their own afterschool snack. My consent on this form extends to the policies of the Dublin Public Library.
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A copy of your responses will be emailed to the address you provided.
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