2022 Summer Reading Program Registration
Wednesday Mornings, July 6, 13, 20 & 27
Stromsburg Public Library, 320 Commercial Street, Stromsburg, NE 68666
Contact us at (402) 764-7681 or stromsburgpl@gmail.com
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電子郵件 *
Last Name *
Parent/Caregiver's Name *
Address *
Home Phone # *
Email *
Emergency Contact (Person to Contact during the Program if an emergency should arise.) Please include Name, Relation to Child & a Phone Number *
Child's Name, Age & Grade (in August) *
Child's Name, Age & Grade (in August)
Child's Name, Age & Grade (in August)
Child's Name, Age & Grade (in August)
I understand that by submitting this form I am agreeing to my child/children being photographed during our summer reading program. Photos may appear on any of the Stromsburg Public Library's social media or webpages. (If you do not want your child included in pictures, please let us know.) *
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