Tween Book Club Child's Name* First Last Parent/Guardian Name* First Last What grade is your child in?*456Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Emergency Contact Name* First Last Emergency Contact Phone*Will your child be riding the bus from school to the library?* Yes, I will send in a bus note for my child to ride the bus to the library No, I will drive my child to the library This program is for students of the Tri-Valley Central School District.* I confirm that my child is a resident of the Tri-Valley Central School District.
