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Mother Goose Time

April 18 @ 9:00 am - 11:00 am

|Recurring Event (See all)

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Children's Programs

Child's Name*
First Last
Birthdate*
Age*
Email*
Phone*
Parent/Guardian Name*
First Last
Physical Address*
Street Address Address Line 2 City State ZIP Code
Mailing Address
Street Address Address Line 2 City State ZIP Code

Complete only if different from physical address.
Emergency Contact Information
If parent cannot be contacted, who should be contacted in case of emergency?
Emergency Contact*
First Last
Emergency Contact Phone*
Program Registration
Please register for one program per child.
Mother Goose Time
12-23 Months
Toddler Time
24-35 Months
Story Hour
3, 4, & 5 Year Olds
Name
This field is for validation purposes and should be left unchanged.

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Details

Date:: April 18
Time:: 9:00 am - 11:00 am

Venue

Daniel Pierce Library; 328 Main Street
Grahamsville, NY 12740 United States
Phone:: 845-985-7233

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