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 Story Hour Registration Form  

Please sign up your child/children for Story Hour. Each child needs to register individually. Children ages 3-5 who are potty-trained may register. If you have a child who will turn 3 between October and December, 2009, they will be eligible to participate in Story Hour in January, 2010.

 

Child's Name
Address
City
State
Zip Code
Phone number
Age of Child
Mom/Caregiver
Church Affiliation
Allergies/Medical Information We Should Know
Any special concerns you would like to share with us?
Submit




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