Summer Story Time
2024 Registration
Child Name
*
First Name
Last Name
Parent/Guardian
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Child's Age
*
Would you like your child to have their own library card if they don't have a card already?
*
Please Select
Yes
No
Submit
Should be Empty: