Program Registration
please submit the form below, * indicates required field
Program:
Black History Month - Children's
Date:
Thursday February 11, 2021 at 9:00 AM
First Name:
*
one name per entry, please
Last Name:
*
one name per entry, please
School District:
SELECT BELOW
Warwick Valley Central School District
Other
*
Library Card#:
*
if registering from "Other" school district, please enter the number 0 (zero) in this field.
Phone:
(
)
-
*
Email:
*
Age:
SELECT BELOW
1
2
3
4
5
6
7
8
9
10
11
12
13
14
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19
*
Grade:
SELECT BELOW
Pre-K
Kindergarten
1
2
3
4
5
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9
10
11
12
*
If submitting your email address, please add
warkids@albertwisnerlibrary.org
to your email address book to ensure our email messages are not blocked.
