After School

Child's First Name:

Child's Last Name:

Phone #:

Grade:

Library Card #:

Parent's Name:

Email:

Choose which program(s) your child will attend:
LEGO® Club, Mondays, Grades 1-8Junior Maker Club, Tuesdays, Grades K-2Chess Club, Wednesdays, Grades 1-8Maker Club, Thursdays, Grades 3-6Pokémon Club, Fridays, Grades 1-8

List any allergies your child has that we should know about:

Photo Release:
I give permission to the Seward Memorial Library to use, publish and reproduce photograph(s) and/or video tape of my child for publicity and promotional/advertising purposes for the library via newsletters, websites, newspapers, and other print and/or electronic media.
yesno