Summer Programs Online Registration Form Child's Name Required Child's Age Required Child's Grade Required Parent/Responsible Adult's Name Required Parent / Responsible Adult Phone Number Required Address Address 1 Address 2 City Country United States State/Province Postal Code Alternate Emergency Contact Name: Required Alternate Emergency Contact Phone Number: Required Child's Allergies Required YES NO If YES please list Library Lab: open to grades 1st -- 8th Monday and Wednesday: 1:00-2:00 pm Tuesday and Thursday: 1:00-2:00 pm Independent Programs (Complete at Home) Nature Scavenger Hunt (all ages) Read for the Bead (K-8th grade) A-Z Challenge (K-5th grade) Tween/Teen Reading Challenge (6th - 12th grade) If any, please list dates your child will be unable to attend program: Per library policy, children under age 8 must be accompanied by a parent or a caregiver at least 11 years old while at the library. Parents are welcome to attend programs with their child(ren) if needed. The library plans for all programs based on the number of registered children. Please notify us if your child is going to be absent from a program. Call or leave a message (641) 484-3362, email library@toledoiowa.gov or send us a message through Facebook messenger. Summer Lab will be full of physical activity and game playing, both indoors and outdoors. Please have children were clothing/shoes appropriate for outdoor play. **I give my permission for my child to be photographed in the library with the possibility of being used in publications, on social media and on the library website to promote library services. Required YES NO Submit
