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Registration Information
Name
*
First Name
Last Name
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Email
*
Verify Email
*
Mobile Phone
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Birthday
(mm/dd/yyyy)
Please check all the boxes for dates you’d like to participate in for Bookworms at Timber Grove. Please note that all dates are Wednesdays at 9:00 a.m. (kindergarten and 1st grade) and 9:30 a.m. (2nd grade)
*
Wednesday, November 8, 2023
Wednesday, December 20, 2023
Wednesday, January 17, 2024
Wednesday, February 21, 2024
Wednesday, March 20, 2024
Wednesday, April 17, 2024
Wednesday, May 15, 2024
How did you learn about us?
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Word of mouth
Social Media
Email
Online Ad
The Associated
Print ad
School or Synagogue
Community Festival or Event
Other
If Other, please explain