Mosheim Public Library
730 Main Street, Mosheim TN  37818-0611
Voice: 423-422-7937 - Fax: 423-422-6492

Summer Reading Program - Online Registration

All fields marked with an * are required to submit this form. . . .

A Universe of Stories Child's Name
 * First:  * Last:
 * Child's Age:
 * Grade attending in September 2019:
School: , optional
 * Child's Home Address:
 * City: ,  * State:  * Zip:
Parent/Guardian Name:  * First: ,  * Last:
Email Address: optional
 * Phone Number:
 * Can Child be Photographed Yes or No, Do not photograph or video my child

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