Form – Library Pen Pals – Child Application Library Pen Pals - Child Application "*" indicates required fields Name (Child) First Last School Grade* Reason for joining Pen Pals*Please explain why you would like to take part in Library Pen Pals. Hobbies and InterestsPlease tell us about your interests and hobbies. Parent/Legal Guardian Name* Aurora Public Library Card #* Address* Street Address City Postal Code Cell Phone Home Phone Email Best time to call I am choosing session:*Select one session. September - December January - May How did you hear of Library Pen Pals? Library Website Teacher or School Library Flyer Friend Other Parent/Guardian CommentsI would like my child to be paired with a Pen Pal because... Library Publicity *** I will advise in writing prior to program that the library and community media may not take pictures and/or video of my child for Library Services promotion. *Personal Information contained in this form is collected under the authority of the Public Libraries Act, R.S.O. 1990 for the purpose of delivering service to registered patrons. Questions regarding the collection of this information should be directed to : Chief Executive Officer Aurora Public Library 15145 Yonge Street Aurora, Ontario, L4G 1M1 (905)727-9494 I agree.CAPTCHAEmailThis field is for validation purposes and should be left unchanged.
