Friends of the Children's Room

Membership Form

Family Name 

*

Child's Name 

*

Age 

*

Address 

*

City 

*

State 
*

Zip 

*

E-mail 

Phone 

*

 

*Required fields to be filled out.

 

Type of Membership:

Blue Check box for Student Membership at Pike County Public Library  Student: 50¢ Blue Check box for Family Membership at Pike County Public Library  Family: $3 Blue Check box for Adult Membership at Pike County Public Library  Adult: $3 Blue Check box for Sponsor Membership at Pike County Public Library  Sponsor: $25

Students ages 12 and up are encouraged to join the FCR committee.

Blue Check box for Student Membership at Pike County Public Library  Please check the box if you would like to be contacted with information about upcoming meetings and special events.