Storytime Lakefield Library
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Child's First & Last Name
Parent/Guardian's First & Last Name
Best to Call Phone Number
Alternate Phone Number
If the person who is bringing the child for this event is different from the person listed above, please provide their contact information. (Name & Phone Number)
First & Last Name
How did you hear about the program?
School presentation/flyer from school
Other library program
Picked up a flyer at the library
Library Facebook Page
Do you approve of pictures being taken of your child during program times for promotion of the library in the media?
Does your child have any allergies or medical concerns we should know about?
If yes, please specify
If so, pleast indicate