Bookmakers Club: Waitlist

Bookmakers club TUESDAY WAITLIST registration
Bookmakers Club @ PS 19 EVCS
Time: 2:40–4:15 pm
Tuesdays: January 6, 2026 – June 16, 2026
Grades: 2nd-5th

Thank you for your interest in PS 19 Bookmakers Club, where kids become author! Please

Your spot is not confirmed until we receive your payment. Shortly after completing this form, you will receive an email with payment information and next steps.

Feel free to email Ari at citationneededpress@gmail.com with any questions.
Child's Name*

First NameLast Name
Birth Date*

MonthDayYear
Parent Name *

First NameLast Name
Parent Email*
example@example.com
Emergency Contact #1*

First NameLast Name
Relationship to the child*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Emergency Contact #2*

First NameLast Name
Relationship to the child*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Child's Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What should we know about collaborating with your child?*
Please share any medical concerns we should be aware of.*
Let us know who is authorized to pick your child up from Bookmakers Club.*
I give permission for my child's artwork and writing to be published by Citation Needed Press.*

YesNo
I give permission for photographs of my child to be used for documentation and promotion on Citation Needed Press's website and social media.*

YesNo
By signing this form, I give permission for my child's artwork and writing to be published by Citation Needed Press. I understand that all authors will receive five copies of their book and any procceds from the sales of these books will support future afterschool programming at PS 19 EVCS.
Signature*

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Bookmakers club TUESDAY WAITLIST registration