STEAM Registration for K-5th graders Child's Preferred First Name (required) Child's Last name (required) Grade (required)Kindergarten 1st 2nd 3rd 4th 5th Age (required) Parent/Guardian's First & Last Name (required) Parent/Guardian's Phone Number (required) Emergency Contact/Atlernate Pick up Person (Name & Phone) (required) 2nd Emergency Contact/Atlernate Pick up Person (Name & Phone) Does this child have permission to walk home? (required)Yes No N/A Any allergies? (required) Behavior Expectations: To ensure a fun and safe experience for all participants, students are expected to follow basic behavior guidelines, including listening to instructors, showing respect to others, and participating safely in activities. While we strive to support every child, the program reserves the right to dismiss participants whose behavior disrupts the learning environment. Please initial (required) I understand that Lone Cone Library may photograph or videotape the events or activity in which my child is participating. I give my permission to Lone Cone Library to use photographs / videos of my child and/or myself for the purpose of promoting Lone Cone Library and its programs/services. I understand that no compensation of any kind will be paid to myself/my child at this time or in the future for use of photographs/videos. (This is not required to participate in any library program) (required)Yes No Signature (required) Date (required) There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank you, your submission has been received.
