2. Winter Storytime Registration
   Registration begins January 5. Classes will be held January 12 - February 18, 2015
4. Parent First Name*
5. Parent Last Name*
7. American Fork Cardholder?*

   1. Yes
   2. No
8. Other Library Name and Card Number
10. Child First Name (one per form please)*
12. Mom & Me (18 months - 3 years)

    1. Monday 10:00 am
    2. Monday 11:00 am
    3. Tuesday 10:00 am
    4. Tuesday 11:00 am
    5. Wednesday 10:00 am
    6. Wednesday 11:00 am
13. Preschool Storytime (3 - 5 years old)

    1. Tuesday 10:30 am
    2. Tuesday 11:30 am
    3. Tuesday 1:00 pm
    4. Wednesday 10:30 an
    5. Wednesday 11:30 am
    6. Wednesday 1:00 pm
17. Special Instructions
Leave This Blank:


19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit Submit and Print

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