Kids' Summer Quest 2019 Registration

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Reading Passports and incentives may be picked up at the library any time after registering. Please provide a parent/guardian ID or a student ID for each child at the desk to collect your materials.

Email *

Name *

Address *

Phone number *

Age *

School

Grade in September 2019 *

Permission to Photograph *

Yes

Required

Allergies or Other Concerns

Parent/Guardian Name *

I understand that by submitting this form I am consenting to my child's participation in the Summer Quest Program at the Coplay Public Library. *

Yes

Required

Send me a copy of my responses.

Submit

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