Required fields are marked with asterisks (*)

Youth Social Justice Club Ages 11 to 14

This group meets weekly on Wednesdays from 5 to 6 p.m. starting May 1. The meeting will take place at the Mill Street Library in the Meeting Room.

Parent or caregiver name:

Child's name:

Phone Number:

Email Address:

Library staff or youth social justice club facilitators may be in touch to convey updates or reminders before group meetings. Please indicate whether you would prefer to be contacted via email or phone.

Phone

Healthy snacks may be provided during group meetings. Does the participant have any allergies the facilitator should be aware of in advance? If so, please describe:

Form Builder

Youth Social Justice Club Ages 11 to 14