Program Registration
please submit the form below, * indicates required field
Program:
Teen Advisory Board -
Program Full, Waiting List Only
Date:
Saturday October 26, 2024 at 3:00 PM
Participant First Name:
*
one name per entry, please
Participant Last Name:
*
one name per entry, please
School District:
SELECT BELOW
Warwick Valley Central School District
Other
*
Library Card#:
*
if registering from "Other" school district, please enter the number 0 (zero) in this field.
Phone:
(
)
-
*
Email:
**
Age:
SELECT BELOW
12
13
14
15
16
17
18
*
Grade:
SELECT BELOW
6
7
8
9
10
11
12
*
If submitting your email address, please add
warkids@albertwisnerlibrary.org
to your email address book to ensure our email messages are not blocked.
** We strongly encourage you provide a valid email address to enable us to reach you promptly
in case of a program change or cancellation. Thank you.