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Storytime Waiting List

Please provide the following information:
Child's Name will be the name that appears on their nametag.

Choose a day
Choose a time
Child's Name
Child's Last Name
Select Birthdate
Must be between Jan. 10, 2009 and Jan. 11, 2012
Phone ex: ### ###-####
Email
How do you prefer to be contacted? Phone Email
Parent or Legal Guardian
Additional Information