presents - lorain county job and family services parton.pdf · presents what is it? dolly...
TRANSCRIPT
Presents
What Is It?Dolly Parton’s Imagination Library is a 60 volume set of books beginning with the children’s classic The Little Engine That Could™. Each month a new, carefully selected book will be mailed in your child’s name directly to your home. Best of all it is a FREE GIFT! There is no cost or obligation to your family.
Who Is Eligible?Preschool children ages birth to five who are residents of Lorain County.
What Are My Responsibilities?1. Be a resident of Lorain County.
2. Submit an official registration form, completely filled out by parent or guardian. (Form must be approved and on file with The Stocker Foundation.)
3. Notify The Stocker Foundation any time your address changes. Books are mailed to the address listed on the official registration form. If the child’s address changes, you must contact the folks at the address on this card in order to continue receiving books.
4. Read with your child. When Will I Receive Books?Eight to ten weeks after your registration form has been received, books will begin arriving at your home and will continue until your child turns five or you move out of Lorain County.
Presents
What Is It?Dolly Parton’s Imagination Library is a 60 volume set of books beginning with the children’s classic The Little Engine That Could™. Each month a new, carefully selected book will be mailed in your child’s name directly to your home. Best of all it is a FREE GIFT! There is no cost or obligation to your family.
Who Is Eligible?Preschool children ages birth to five who are residents of Lorain County.
What Are My Responsibilities?1. Be a resident of Lorain County.
2. Submit an official registration form, completely filled out by parent or guardian. (Form must be approved and on file with The Stocker Foundation.)
3. Notify The Stocker Foundation any time your address changes. Books are mailed to the address listed on the official registration form. If the child’s address changes, you must contact the folks at the address on this card in order to continue receiving books.
4. Read with your child. When Will I Receive Books?Eight to ten weeks after your registration form has been received, books will begin arriving at your home and will continue until your child turns five or you move out of Lorain County.
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Sign up your child today!Simply fill out the above form and mail to:
Sign up your child today!Simply fill out the above form and mail to:
Lorain County Imagination Libraryc/o The Stocker Foundation201 Burns RoadElyria, Ohio 44035(440) 366-4884
Lorain County Imagination Libraryc/o The Stocker Foundation201 Burns RoadElyria, Ohio 44035(440) 366-4884
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Privacy Statement: This inform
ation will not be used w
ithout your permission for any purpose other than those related to the Im
agination Library. PLEASE PRIN
T
1st Prescho
ol C
hild’s FU
LL Nam
e ____________________________________________________________________________________
Ch
ild’s Date o
f Birth
________/___________
/ ___________
Sex: M
F Ph
on
e ____________________________________
2nd Presch
oo
l Ch
ild’s FULL N
ame ___________________________________________________________________________________
Ch
ild’s Date o
f Birth
________/___________
/ ___________
Sex: M
F Ph
on
e ____________________________________
Parent/G
uardian
’s Nam
e ____________________________________________________________________________________________
Ch
ild’s Ho
me A
ddress _______________________________________________________________________________________________
ad
dr
es
s
_______________________________________________________________________________________________
t
ow
n/c
ity
pos
t co
de
Postal A
ddress ______________________________________________________________________________________________________
ad
dr
es
s(if differen
t) _______________________________________________________________________________________________
t
ow
n/c
ity
pos
t co
de
Em
ail Address ______________________________________________________________________________________________________
“Th
is child is a residen
t of L
ora
in C
ou
nty.” __________________________________________________________________________
s
ign
at
ur
e of pa
re
nt/
gu
ar
dia
n
FO
R O
FFIC
E U
SE
ON
LY: D
ate Received: _____________________
G
rou
p Co
de: ____________–_______________________
Privacy Statement: This inform
ation will not be used w
ithout your permission for any purpose other than those related to the Im
agination Library. PLEASE PRIN
T
1st Prescho
ol C
hild’s FU
LL Nam
e ____________________________________________________________________________________
Ch
ild’s Date o
f Birth
________/___________
/ ___________
Sex: M
F Ph
on
e ____________________________________
2nd Presch
oo
l Ch
ild’s FULL N
ame ___________________________________________________________________________________
Ch
ild’s Date o
f Birth
________/___________
/ ___________
Sex: M
F Ph
on
e ____________________________________
Parent/G
uardian
’s Nam
e ____________________________________________________________________________________________
Ch
ild’s Ho
me A
ddress _______________________________________________________________________________________________
ad
dr
es
s
_______________________________________________________________________________________________
t
ow
n/c
ity
pos
t co
de
Postal A
ddress ______________________________________________________________________________________________________
ad
dr
es
s(if differen
t) _______________________________________________________________________________________________
t
ow
n/c
ity
pos
t co
de
Em
ail Address ______________________________________________________________________________________________________
“Th
is child is a residen
t of L
ora
in C
ou
nty.” __________________________________________________________________________
s
ign
at
ur
e of pa
re
nt/
gu
ar
dia
n
FO
R O
FFIC
E U
SE
ON
LY: D
ate Received: _____________________
G
rou
p Co
de: ____________–_______________________