First & Last Name of child :

Age : Birthday:

Address

City & Zip

Parent or guardian

Phone number :

Email Address [optional] :

Does your child have any allergies?

What program do you want to register for:

Mother Goose Time (Birth-2 years), Tuesdays 10:30am
Tales for 2's (2-3 year-olds), Wednesday, 10:30am
Tales for 2's (2-3 year-olds), Thursday, 10:30am
Pre-school story time (3-4 year-olds), Tuesday, 10:30am
Pre-school story time (3-4 year-olds), Tuesday, 12:30pm
[Waiting List signup] Pre-school story time (3-4 year-olds), Wednesday, 10:30am
All ages (2-5 year-olds), Thursday, 12:30pm