Online Registration Form for Summer Learning Club Name of Parent or Guardian:* Address: Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Phone: Area Code - Phone Number E-mail: Children's Information:Child's NameChild's AgeGrade in FallSchool/Homeschool CooperativeChild 1Child 2Child 3Child 4Child 5Child 6 We plan to:*Complete Activity and/or Reading LogsAttend Summer Learning Club programs at Somerset County LibraryAttend Summer Learning Club programs at Conemaugh Township Library BranchAttend Summer Feeding Hot Lunches at Somerset County Library Name of responsible adult(s) accompanying your children to programs and/or events: Verification Code:SubmitReset