Imagination Library Signup Form

CFGV Community

Imagination Library Signup Form

Imagination Library

 

 

Child's First Name:

Child's Last Name:

Child's Date of Birth:

Child's Gender:

Child's Home Address:

Child's Home City, State, ZIP:

Child's Mailing Address (if different):

Child's Mailing City, State, ZIP (if different):

Authorized Adult's First Name:

Authorized Adult's Last Name:

Authorized Adult's Address:

Authorized Adult's City, State, ZIP:

Authorized Adult's Email Address:

Phone Number:

I hereby explicitly consent to allow the Dollywood Foundation, Inc. to use the information provided herein for the purposes of participating in Dolly Parton's Imagination Library book gifting program. To measure the benefits of this program we may create data sets with the information provided herein and share them with research and educational advancement partners. You agree to review our full Terms & Conditions and Privacy Policy by visiting imaginationlibrary.com. By "signing" (entering your first and last name below) and submitting this form you expressly consent to the terms set forth herein.

Authorized Adult's Signature (Enter First and Last Name):

 

Click here to give!