Thank you for your interest in our programs!
If you are a teen filling out this form for yourself you can ignore the Caregiver's First Name and only fill in your own name under Child's First Name. If you are filling out this form for multiple children, please write the name of each child interested in our programming, separated by commas. Example: David, Katherine, and Jason.
If you are having trouble filling out the form, you can call the library at (203) 734-1492 or email us at
youthservices@derbynecklibrary.org. Thank you for your continued support of the Derby Neck Library!