Imagination Library Registration Form

Once enrolled, children will stay on the mailing list until they reach the age of five.

Fill out one form per child.

Enrollment Status (Please check one):

New Registration
Address Change
Re-enrollment

Child/Parent Information

Child's Name
Child's Gender
Child's Date of Birth:
Parent/Guardian Name:
Parent/Guardian Email:
Mailing Address:
City:
State:
Zip Code:

How did you learn about Imagination Library:

Please Note:
Please notify United Way of Northeastern Minnesota if your address changes.? Books are mailed to the address provided.

Please allow 8 ? 10 weeks for your first book to arrive.? All families receive ?The Little Engine that Could? as their first book.? Each month following, your child(ren) will receive other new books, selected specifically for your child?s age.