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Registration Form

Use this form to register for 2017 Summer Library Programs

Please fill out this form to register your child for this year's Summer Library Program. Please register each child individually. If you have questions or need help, please call the library at 641.337.5061 Ext 124 or email

Does the child read alone or do you read to him/her?   Select Independent if child reads alone. Select Family if the child will have books read to him/her the majority of the time.

Photo and/or Video Publicty Permission   The library will occasionally take photographs or video of children participating in the summer reading program. Check below whether you give permission to the library to use these photographs or videos on the library's web site, Facebook, newspaper or in other publicity. No names will appear with photos.

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