Pompton Lakes Library Pre-School Story Time Registration Form
Winter 2009 - January 12 to March 27
Welcome to the Pompton Lakes Public Library Story Time Registration form.
Please fill in this form and click submit to send.

Child's Name:  Child's Age: 

Guardian's Name: 

Phone Number (Home):  PhoneNumber (Work)-optional: 

Please indicate your First Choice: Please indicate a Second Choice, if any:
Tuesday (11:00 am to 11:45 am) Tuesday (11:00 am to 11:45 am)
Wednesday (10:30 am - 11:15 am) Wednesday (10:30 am - 11:15 am)
Thursday (12:00 pm - 12:45 pm) Thursday (12:00 pm - 12:45 pm)
Friday (3:15 pm - 4:00 pm) Friday (3:15 pm - 4:00 pm)

If your child has any special needs or allergies please indicate below:


You will receive a confirmation by January 5th of your child's story time section.

If you prefer to have registration confirmation e-mailed, please check this box
and enter your e-mail address below.
Email Address: 
If you do not wish to have this information e-mailed, you do not need to include your e-mail address. 

Comments:

Clicking the back button will return you the Children's Programs page