Whitehall Public Library

Whitehall Township Public Library

Paws, Claws, Scales & Tales

Summer Reading Program 2006

Parent's First Name: Parent's Last Name:

Street Address: Apartment: Town: ** Whitehall or Coplay required address to enroll**

E-mail: Home Phone: () - Work Phone: () -

Toddler Read To Me

Preschool & Kindergarten

School Age Program

*All Age Groups Based on the Grade Child is Entering in September 2006 (upcoming* School Year)**
Child 1:	Child 1:	Child 1:	Child 3:
First Name:	First Name:	First Name:	First Name:
Last Name:	Last Name:	Last Name:	Last Name:
Register for Story Time? YES	School:	School:	School:
		Register for Craft Workshop (grades 1 - 4)	Register for Craft Workshop (grades 1 - 4)
Child must enroll in Read-To-Me to enroll in Story Time Story Time Sessions Limited to 12 children	Child 2:
	First Name:	Register for Book Discussion (grades 5 - 8)	Register for Book Discussion (grades 5- 8)
	Last Name:	Hoot (by Carl Hiaasen) YES	Hoot (by Carl Hiaasen) YES
	School:	The Wish List (by Eoin Colfer) YES	The Wish List (by Eoin Colfer) YES

Child 2:	Child 3:	Child 2:	Child 4:
First Name:	First Name:	First Name:	First Name:
Last Name:	Last Name:	Last Name:	Last Name:
Register for Story Time? YES	School:	School:	School:
		Register for Craft Workshop (grades 1 - 4)	Register for Craft Workshop (grades 1 - 4)
	Child 4:
	First Name:	Register for Book Discussion (grades 5 - 8)	Register for Book Discussion (grades 5 - 8)
	Last Name:	Hoot (by Carl Hiaasen) YES	Hoot (by Carl Hiaasen) YES
	School:	The Wish List (by Eoin Colfer) YES	The Wish List (by Eoin Colfer) YES

High School Program (Creature Feature @ Your Library) (Grades 9 - 12)
Child 1:	Child 2:	Child 3:
First Name:	First Name:	First Name:
Last Name:	Last Name:	Last Name:
School:	School:	School:
Register for Monstrous Fun:	Register for Monstrous Fun:	Register for Monstrous Fun:

Please Register *ALL* Children on this form PRIOR to submitting!!

Acceptance is based upon First Come - First Served.