Program Registration
please submit the form below, * indicates required field
Program:
My Art Class with Judy Pedersen
Date:
Saturday February 16, 2019 at 1:30 PM
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
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19
*
Grade:
SELECT BELOW
Pre-K
Kindergarten
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*
If submitting your email address, please add
warkids@albertwisnerlibrary.org
to your email address book to ensure our email messages are not blocked.
