22-24 Enrollment form for OPL programs

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Please have your enrollment filled out by August 25, 2022.

Name of participant
*

Program for participant
*

Sprouts

Story Hour

Grades K-2

Grades 3-5

Name of Participant

Program for Particpant

Sprouts

Story Hour

K-2

3-5

Clear selection

Name of participant

Program for Participant

Sprouts

Story Hour

Grades K-2

Grades 3-5

Clear selection

Parent Guardian Name
*

Email address
*

Phone Number
*

Name of Person(s) picking up child
*

I understand that the Osborne Public Library may take and publish photographs of the above named child(ren). I also understand that my my child may be taken off-site for programs within walking distance of the library. *

Yes

I will hold the Osborne Public Library, City of Osborne, The OPL Board of Trustees, employees and volunteers from and against all liability, loss, damages, claims, or actions for any bodily injury and/or property damage, to the extent permissible by arising from or related to his/her participation. *

Yes

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