Registration Form

Use this form to register for 2019 Summer Library Program

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 712-949-3941.  NOTICE:  The closing party at the Prairie Heritage Center is for participants in the Kindergarten - 6th grade reading program only.  Not the Early Literacy program! You must complete the required reading in order to attend the party!

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.

Photo and/or Video Publicity Permission   The library will occasionally take photographs or video of children in the summer reading program. Check below whether you give permission to the library to use these photographs/videos on the library's web site or in other publicity.

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