Shelby Shopper Shelby NC
Issue link: https://www.ifoldsflip.com/i/1229214
Thursday, April 2-April 8, 2020 www.shelbyinfo.com 704/484-1047 - shelby shopper & info - Page 3 Child's Name: First Name_______________________________________________ Last Name_______________________________________________ Child's Date of Birth: Month___________ Day___________ Year___________ Sex: M F Phone: _________________________________ Parent/Guardians Name: First Name____________________________________ Last Name_____________________________________________ Parent/Guardians Address:______________________________________________________________________________________________________________ City___________________________________________ State___________________________________________ Zip Code_____________________________ Parent/Guardians Email Address: _______________________________________________________________________________________________________ Child's Home Mailing Address (If Different from Parent/Guardians) :________________________________________________________________ City___________________________________________ State___________________________________________ Zip Code_____________________________ Visit www.ccpartnershipforchildren.com to enroll or fill out the below form and mail to: ENROLL TODAY TO RECEIVE FREE BOOKS PREPARE YOUR CHILD FOR READING READINESS MAILED TO YOUR DOOR EVERY MONTH! To be eligible to join Dolly Parton's Imagination Library, your child must live in Cleveland County and be age 0-5 years old. Cleveland County Partnership for Children P.O. Box 455, Kings Mountain, NC 28086 I hereby explicitly consent to allow the Dollywood Foundation, Inc. to use the information provided herein for the purposes of participating in Dolly Parton's Imagination Library book gifting program. To measure the benefits of this program we may create data sets with the information provided herein and share them with research and educational advancement partners. You agree to review our full Terms & Conditions and Privacy Policy by visiting imaginationlibrary.com. By signing and submitting this form you expressly consent to the terms set forth herein. Parent/Guardian Signature: ___________________________________________________________________________________________________________