Smyrna Public Library Teen General Interest Form
Thank you for your interest in starting a young adult program at the Smyrna Public Library! This application is intended for young adults (ages 14-17) who wish to create a young adult event in the library's meeting space. (If you are 18+ and wishing to start a program, please do not fill out this application. Instead, you may contact Stephanie Jones at sjones@rclstn.org or Al Brittain at abrittain@rclstn.org for more information on adult programming.) Young adult programs can be anything from book clubs to board game nights to poetry slams-- the choice is up to YOU. Just complete this form and the library's Youth Services Department will be in contact soon. (Please allow up to 48 business hours after submission for us to contact you.)
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Email *
First Name *
Preferred Name (if different than first)
Last Name *
Age *
Phone Number *
We will contact you by email when we respond to your form.
Emergency Contact Full name *
Emergency Contact Phone Number *
Tell us about your program! What type of event are you interested in starting? Will it have a theme? *
(For example, science fiction book club, comedy film club, spooky board game club, etc.)
Are you willing to be the "leader" of your program? *
What are you hoping to achieve with your program? *
How often would you like your program to meet? *
How many people would you like to attend your program? *
If your program is not a one-time event, can you commit to attending your program for a full season with the exception of emergencies and holidays? *
The library has Fall, Winter, & Summer programming seasons
What supplies will you need (if any) for your program?
When would you like to start your program? *
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Is there anything else you would like us to know that we haven't asked about? (***Smyrna Public Library maintains a policy of confidentiality and non-disclosure regarding patron information.)
A copy of your responses will be emailed to the address you provided.
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