SHAKE, RATTLE AND ROLL REGISTRATION FORM

For adults and children age 2-6
Tune in to the magic.  Enjoy stories that leap off the page with song, dance and rhythm instruments.  For added fun, each child will be give a special "shaker".

Please register each child and program separately.

Note: In order to guarantee registration, form must be completed.

Today's Date: 

Summer Session: Monday, June 16, 2008 - Thursday, July 24, 2008
Monday	Tuesday	Wednesday	Thursday	Friday
Session F 1:00pm Main	Session K 10:30am Madison	Session G 10:30am Main CLOSED	Session H 10:30am Main CLOSED
Session J 7:00pm Madison	Session L 7:00pm Madison	Session M 1:00pm Madison	Session I 7:00pm Main
First Choice: Select one Mon., 1:00pm - F Thur., 7:00pm - I Mon., 7:00pm - J Tues., 10:30am - K Tues., 7:00pm - L Wed., 1:00pm - M Second Choice: Select one Mon., 1:00pm - F Thur., 7:00pm - I Mon., 7:00pm - J Tues., 10:30am - K Tues., 7:00pm - L Wed., 1:00pm - M

*No waiting list for sessions marked as CLOSED.

Child's Name (first & last)
Parent's / Guardian's Name (first & last)
Street Address
City/State/Zip
Phone
Child's Date of Birth (Month/Date/Year)

The Library will notify you regarding your selection. If you have any questions about Story Time Registration,
please call (216) 226-8275 Ext 140.

 

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Children's & Youth Services