SPRING 2007 Storytime REGISTRATION FORM

7-Week Session April 30 – June 15

(no class  May 28th)

Registration Period:

April 3 - 18

Late and non-resident applications will be considered, space permitting.   Questions regarding a child entering a class not matching a child’s age or enrollment of multiple children, please speak with Mrs. McNulty.

Notification

of Acceptance to class

April 20 - 24

Class assignments will be determined following a lottery.  Patrons will receive notice by mail or telephone call. 

  CLASS INFORMATION

Programs will be held in the Storytime Room upstairs unless noted (* indicates program in Community Room)

AM CLASSES

PM CLASSES

Day

Time

Age:

Sit Alone / With Adult

Day

Time

Age:

Sit Alone / With Adult

Monday     

10:30 AM

2’s & 3’s

With adult

 Monday

1:30 PM

3½ - 4 ½

Sit alone

birthdates between 10/30/02- 10/30/03 

Tuesday

10:30 AM

2½ - 3 ½ 

With adult

 Tuesday

1:30 PM

NO CLASS

birthdates between  10/30/03-10/30/04

Wednesday    

10:30 AM

18-24 mos. *

With Adult

Wednesday

1:30 PM

4’s & 5’s

Sit Alone

10:30 AM

3’s

Sit Alone

Thursday

10:30 AM  

2’s**CANCELLED

With Adult

Thursday

1:30 PM

    4’s & 5’s

Sit Alone

Friday

10:30 AM

 4’s & 5’s

Alone

 Friday

1:30 PM

NO CLASS

  Patron INFORMATION

Please print and complete all sections accurately.  Mail, fax (675-6364) or leave application at the library.

Today’s Date:      

Sex:

 M

 F

Child’s Last Name:      

First:            

Nametag to Read:      

Parent’s  Name:      

Person Attending Child:      

Child’s Home Street Address:      

E-mail address: (for class information)

 City:       

State   

Zip Code:      

Child’s Full Birth Date:

Exact Age as of April 30, 2007

Home Phone No.:

Cell Phone No.:

           /              /         

           yrs.         mos.

Does your child have any medical conditions (food allergies, etc.?)

 Yes 

 No

Describe:      

Do we have your permission to publish any photos we or the media take?

 Yes

 No

Are you bringing a sibling to any 2 year old  group:

 Yes

 No

Age?      

Were you wait-listed in the fall session (you did not get into a group at all?)

 Yes

 No

Comment:       

I don’t care which class, my odds are increased if I am flexible: 

 Yes

 No

 My First Choice Class is Listed Below:

My Second Choice Class is:

My Third Choice Class is:

 In order to provide a more enjoyable storytime experience for my child, I understand the following requests:

Classes designated as sit alone are for children only. During storytime adults should remain upstairs.  Adults are requested to assist all children during craft time but not remain in craft room during program.

 Yes 

Strollers are not permitted in the storytime or craft rooms because they block fire escapes.

 Yes 

Babies should be in carriers or held on laps at all times, for safety reasons.

 Yes 

Cell phones should be turned off prior to entering the storytime room.

 Yes 

The library should be notified if a child is unable to attend class, to accommodate children on the waiting list.

 Yes