Library Visit Request Form

Today’s Date:

School/Group Name:

Contact person:

Contact phone number:

Ages/Grades:

Number of Children:

Type of program requested: (Storytime, Tour, Intro to Library Services, Special Request:

Other information about your request (include theme requested, length requested, any other details):

To be held at: (Santori, Eola, West)

Date and time request (option 1):

Date and time request (option 2):

Date and time request (option 3):