JUST BABY 'N' ME REGISTRATION FORM

For adults and babies ages 9 to 24 months.
Enjoy books, songs and finger plays, while networking with other parents.

Please register each child and program separately.

Note: Form must be completed in full.

Today's Date: 

Winter Session: Monday, January 4, 2010 - Thursday, February 25, 2010
Monday	Tuesday	Wednesday	Thursday
Session B-1 9:30am Main CLOSED	Session B-6 9:30am Madison	Session B-7 9:30am Madison	Session B-5 9:30am Main CLOSED
		Session B-3 11:30am Main CLOSED
	Session B-2 6:30pm Main	Session B-4 6:30pm Main
First Choice: Select one Tues., 6:30pm - B-2 Wed., 6:30pm - B-4 Tues., 6:30pm - B-6 Wed., 9:30am - B-7 Second Choice: Select one Tues., 6:30pm - B-2 Wed., 6:30pm - B-4 Tues., 6:30pm - B-6 Wed., 9:30am - B-7

*No waiting list for sessions marked as CLOSED.

Child's Name (first & last)
Parent's / Guardian's Name (first & last)
Street Address
City/State/Zip
Phone
Child's Date of Birth (Month/Date/Year)

The Library will notify you regarding your selection. If you have any questions about Story Time Registration,
please call (216) 226-8275 Ext 140.

 

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Children's & Youth Services