Play & Learn Registration Form

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If you plan to attend one of our Play & Learn sessions at Quarryville Library, please complete this form prior to attending. You will only need to complete it once. Registration is full for the first session (birth-3 years old), but we do still have space available for our second session, ages 3-5. Thank you!

Parent/Guardian Name *

Address: *

Phone Number *

Email *

Child's Name and Birthdate (please list all children attending on this line) *

Which session will you be attending? (The first session, 10-11AM for birth-three years old is at full capacity). *

11-12PM: (3-5yrs)

PLEASE READ AND CHECK ONE OF THE BOXES: Photo Release: Solanco School District may take photos or video footage of participants attending sessions for the purpose of publicizing the program. These photos may appear in printed materials or electronic media. Solanco School District will respect the privacy of individuals who do not want to be photographed. *

I agree with this photo release statement

I do not wish to be photographed or have my family photographed

Please choose one of the following: *

Yes, I'd love to receive newsletters about upcoming events!

No, I do not wish to receive information about future events.

I am already registered to receive upcoming event information.

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