Kid’s Free Play Friday Registration Form

Students Grade k-6 are invited to join us at this month’s Free Play Friday

Please pick up your child using the Elgin Hall door by 5:30 p.m.

Subscribe to our monthly newsletter to see what else is happening this month!

Child's Name(required)

Grade(required)

Food Allergies / Health Concerns(required)

Child's Name

Grade

Food Allergies / Health Concerns

Child's Name

Grade

Food Allergies / Health Concerns

Child's Name

Grade

Food Allergies / Health Concerns

Child's Name

Grade

Food Allergies / Health Concerns

Parent / Guardian(required)

Contact Phone(required)

Email(required)

Emergency Contact Name(required)

Emergency Contact Phone #(required)

Consent(required)

I give permission for my child(ren) to attend the selected date afterschool movie at the Elgin Hall I give permission for the library to take action photos of my child(ren) during this event. The pictures could be used on future brochures, posters, and our web site. The participant will not be identified by name. I confirm that this information can be used for Rideau Lakes Public Library reports and may be shared with staff.

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