Registration Form

Use this form to register for the 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 your have questionsor need help, please call the library at 641-724-3440.
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 videos of children participating in the summer reading program. Check below whether you give permission to the library to use these photographs or videos on the library's web site or in other publicity.


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