Kids Read to a Therapy Dog (template)

Event Registration

Please register each child you are bringing separately; each dog will have a 15 minute time slot available for each child scheduled.. Questions or cancelations? Email aparkes@hmcpl.org.

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Parent or Guardian Name *

Parent or Guardian Phone *

Parent or Guardian Email *

Child's name *

How old is your child? *

Desired time slot?

	Dog 1	Dog 2	Dog 3	Dog 4
2:00	2:00 - Dog 1	2:00 - Dog 2	2:00 - Dog 3	2:00 - Dog 4
2:15	2:15 - Dog 1	2:15 - Dog 2	2:15 - Dog 3	2:15 - Dog 4
2:30	2:30 - Dog 1	2:30 - Dog 2	2:30 - Dog 3	2:30 - Dog 4
2:45	2:45 - Dog 1	2:45 - Dog 2	2:45 - Dog 3	2:45 - Dog 4
3:00	3:00 - Dog 1	3:00 - Dog 2	3:00 - Dog 3	3:00 - Dog 4
3:15	3:15 - Dog 1	3:15 - Dog 2	3:15 - Dog 3	3:15 - Dog 4

About

This is the public’s library. Huntsville-Madison County Public Library (HMCPL) is a nonprofit 10-branch system that serves all of Madison County, Ala. For 200 years, the library has been dedicated to enriching the educational, recreational and cultural lives of communities in Madison County through materials, information and programs that foster a lifelong love of learning.