Registration Form
2006
Bill Myers Author Visit
Name___________________________________________________________________
Address_________________________________________________________________
_________________________________________________________________
Telephone_________________________________
Children Attending
Name: Grade:
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
Please indicate how many will be attending each session with Bill Myers (there is no charge, but we need to know how many to expect):
Elementary Chapel (8:00
– 8:45 A.M.) _________
(Pre-K - grade 6)
Junior / Senior High Chapel (9:00 – 9:55 A.M.) _________
(grades 7 - 12)
Elementary Writing Class (10:00 – 10:45 A.M.) _________
(limited
to grades 3 -6 only)
Junior / Senior High Writing Class (11:00 – 11:45
A.M.) _________
(grades
7 - 12)
Please
return by 20 October 2006 to:
5555 CR 29
For more information, please contact Debbie Shirey, librarian at (260) 925-1393, ext. 222, or by email at dshirey@lakewoodpark.org.
Please feel free to shop at
our book fair between sessions. The book fair will be held daily from 8:00 to
5:00 with extended hours on Thursday evening. In order to facilitate our
check-out lines, we will offer cash or check payment options only. We
will be unable to accept credit cards.