Form Center

2. First Name
3. Last Name
5. Address

   217 Cypress Lane

   Palm Springs, FL 33461

6. Email
7. Daytime Phone Number*
9. Program Name
   -- Select One --Virtual English Café Fall Session 08/15/23 - 11/14/23 at 11:00am9/28/23 Adult Craft & Coloring at 11:00 AM 9/30/23 Hispanos de Parranda at 2:00 pm9/30/23 FRIENDS Paranormal Investigator Program at 2:00pm10/04/23 Adult Craft & Coloring at 1:30pm10/05/23 STEAM With PBC 4H 4:30pm10/07/23 GAMERZ at 2:30pm10/09/23 I am... Happy Program at 10:00am10/12/23 STEAM with Mad Science 4:30pm10/14/23 STEAM Solar Eclipse 10:30am10/18/23 Adult Craft & Coloring 1:30pm10/19/23 Ambika Devi Meet & Greet + Lecture 1:00pm-6:30pm10/19/23 Teen C.R.E.W. 5:00pm10/19/23 Family Game Night 5:00pm10/21/23 Coraline Escape Room 9:30am-1:30pm10/23/23 I am... Happy Program at 10:00am10/24/23 Book Club (In -person only) 5:00pm10/26/23 Read for the Record Event 4:30pm10/26/23 Adult crafts & coloring at 11:00am10/27/23 TeenTober Wednesday Themed Halloween Party 5:30pm

   Please select the program you are signing up for. If you do not see the program listed, it has reached capacity

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