TEEN TALK

Wakulla County Public Library

4330 Crawfordville Hwy.

Bree Lovel, Children and Youth Specialist

850-926-7415

bree@wakullalibrary.org

Cinemaniacs Registration Form

 

Name:_____________________________

Age:______     Grade:_____

Parent/Guardian Name: (Just in case) __________________________

Address:_________________________

Home Phone:_____________   Work Phone:___________ Mobile Phone:______________

Emergency Contact: (The worst case)

Name:___________________         Phone #:_______________

 

 

Return registration to the Wakulla County Public Library