REGISTRATION CLOSED FOR 2021 NO RESPONSE WILL BE RECEIVED TO FORMS IF YOU ARE READING THIS NOTICE. Whitecourt & District Public Library 2021 Summer Reading Program Registration
How to participate:
1). Complete this form to sign up.
2). Receive your e-mail confirmation and kit pickup time.
3). Pick up your activity kit.
4). Enjoy six weeks of activities.
5). Join us online each week if you can.
6). Feel free to share photos on the library's Facebook page and contact the library with feedback or questions.

Note: Only residents of Whitecourt & Woodlands County are eligible for the program. For exceptions contact jkubelka@whitecourtlibrary.ab.ca 

Please go through the form and complete the sections that apply to you and your family.
Questions that do not apply to you can be left blank. If you have questions or require help completing the form call the library at 780-778-2900. This year's program can be attended WITHOUT internet. If you are spreading the word about our program to someone without internet access they can call the library and staff will complete their registration over the phone.

Thanks to our sponsors, volunteers, partners, staff, and funders the 2021 program remains 100% FREE to you. To keep costs sustainable please only register if you plan on picking up and using a kit (attending the live portion of the program is optional and requires internet access.) If you do not end up using your kit at all by the end of the summer, it can anonymously be placed in the 24/7 item return slot beside the main doors. We will ensure returned kits get used for future programs.


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Ages 3-5 Schedule
Ages 3-5 Registration: For each child enter the first name, last name, age, and gender (male/female, for statistical reporting purposes, "unspecified" will be used if no gender indicated)
Ages 6-8 Schedule
Ages 6-8 Registration: For each child enter the first name, last name, age, and gender (male/female, for statistical reporting purposes, "unspecified" will be used if no gender indicated)
Tween & Teen Schedule
Tween (9-12) & Teen (13-17) Registration: For each child enter the first name, last name, age, and gender (male/female, for statistical reporting purposes, "unspecified" will be used if no gender indicated). Teens can be registered here OR choose the "adult" program.
Adult Schedule
Adult Registration: Please enter the first name, last name, age (if under 18), and gender (male/female, for statistical reporting purposes, "unspecified" will be used if no gender indicated)
For 3-8, 6-9, Tween/Teen, and Adult registrations: You will be picking up an activity kit. The pickup times will be included in your registration confirmation. The kit includes pre-recorded programs. We can provide these on a DVD or on a USB flash drive. Please check which you prefer below. Our costs are lower with the DVD option, so please pick that if you can. DVDs play on DVD players, computers and laptops with disc drives, and popular gaming consoles like PlayStation and X-Box. USB flash drives work on any viewing device with a USB port such as a smart TV or laptop.   *
Family Walking Program Schedule
July 6 – August 12: Tuesdays, Wednesdays, & Thursdays From 1:00 – 2:30 PM at the Rotary Park Main Pavilion
Week 1 (July 6-8) Build & Learn: Smudge Kits  (Ms. Martin)                    
Week 2 (July 13-15) Build & Learn: Smudge Kits (Ms. Martin)
Week 3 (July 20-22) Mindful Walk with Bubbles & Chalk (Mrs. Skipper)      
Week 4 (July 27-29) Sticks & Rocks Tic Tac Toe Boards (Mrs. Skipper)
Week 5 (August 3-5) Em-P.O.W.E.R.-ing Calm Down Bins (Ms. Smithson)    
Week 6 (August 10-12) Em-P.O.W.E.R.-ing Calm Down Bins (Ms. Smithson)

Family Walking Program Registration. Families (individuals also welcome) please indicate: Which of the six weeks you are registering for (only one week per registration at this time), first and last names, ages, and genders of family members attending - "unspecified" will be recorded in our statistics if no gender is provided.
I am the parent and/or legal guardian of all minors under 18 registered on this form. If "no" please have the parent/guardian complete the form. *
Are you a member of the Whitecourt & District Public Library? Membership required to register for summer programming, but it is free and you can sign up right here! Nervous about your program registration being denied because you owe the library money? We encourage you to settle your account and you may not be able to borrow materials till you do, but you can still attend the summer program! *
Required
If you answered "No, not yet" in the question above enter: your name (as it appears on your ID), date of birth, residential address, mailing address (if different from residential), phone number, and e-mail address. Your shiny new library membership will be ready to pick up with your summer program kits.
Please read the following and then type your name in lieu of your signature. Each adult listed on this registration must also be listed below. WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT I, the undersigned, am requesting participation for myself and/or my dependent(s) in the 2021 Summer Reading Programs at the Whitecourt & District Library. In consideration of my/our participation in the Program, I hereby waive all claims or causes of action against the Whitecourt & District Public Library, its Employees, Partners, Volunteers, Board of Trustees, the Town of Whitecourt and its Employees arising out of my participation in this Program and hereby release, hold harmless and discharge the aforementioned from all liability in connection therewith. *
Please read the following and then type your name in lieu of your signature. Each adult listed on this registration must also be listed below. MEDIA RELEASE FORM Whitecourt & District Public Library (WDPL) Staff, Partners, Volunteers and the Media may take photographs, and/or record video/audio, and/or interview you and/or your child.  These materials may appear at the Whitecourt District Public Library, on the Whitecourt & District Public Library’s Website, as well as on Whitecourt & District Public Library social media sites, in the news media and/or library-related journals or publications. MEDIA RELEASE OPT OUT: Don't want us to use you in our media? Simply type "I opt out of the media release" below. *
Please enter the e-mail you want us to send your registration confirmation and pickup information to and the phone number you would like us to call if we need to contact you about your registration. Confirmations are not sent instantly. If you do not receive yours within two business days check your spam folder and then call the library.
Is there anything else we need to know? For example: preferred emergency contact (may be handy for the walking program if you are not the one attending), severe allergy concerns (some kits may contain baking soda, borax, food dyes, or free snacks), or other questions, comments, or concerns.
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