Child’s Last Name: Child’s First Name:

Child’s birthday (MM/DD/YYYY) / / Child: Male or Female

Address: City: Postal Code:

Phone Number Email Address:

Parent/Guardian's Full Name

Where did you hear about the Imagination Library?

Signature of Parent/Guardian:

*Children must live in Brantford or Brant County.

Simply fill out and mail to:

Kids Can Fly

110 German School, RR#1, Paris, ON N3R 6W5

Yes, I would like to subscribe to weekly news emails from Kids Can Fly.

FOR MORE INFORMATION: www.kidscanfly.ca or www.imaginationlibray.ca Charitable Number 88447 6904 RR0001

Dolly Parton’s Imagination Library will help to instill a love of reading with your child. Every month a new, carefully selected, age appropriate book will be mailed in your child’s name directly to your home. He or she can look forward to new and exciting reading adventures from Dolly Parton’s Imagination Library until they turn five years old.

Lorne and Elsie Hankinson Charitable Trust Foundation

Samuel W. Stedman Foundation Leisa Way Productions

Donn Zver Pottery/Café Troy & Many Individual Community Donors

Privacy Statement: This information will not be used for any other purpose than the Imagination Library.

Kids Can Fly is proud to be the Community Champion for Dolly Parton’s Imagination Library in Brantford and Brant County since 2009.

Kids Can Fly has a partnership with the Dollywood Foundation of Canada and fundraise $42.60/year/child for this program. Thank you for many wonderful supporters in our community we send books to over 25% of children under 5.

Your child will be entered into the database or a waiting list based on funding available. Once your child is entered into the Dolly Parton’s Imagination Library, you will receive an email with parent account log in information.

What is Dolly Parton’s Imagination

Library? It is an early literacy program that mails an age-appropriate book to a child once a month until their fifth birthday.

Who is Eligible? Preschool children ages birth to

five who are residents of Brantford or Brant County.

What Are My Responsibilities?

Register your child

Update address changes, if needed

READ WITH YOUR CHILD

Kids Can Fly/ Dolly Parton’s Imagination Library 110 German School Road, RR#1

Paris, ON N3L 3E1

Sign up your child today

Send to

When Will I Receive Books? Eight to ten weeks after your registration form has been received, books will arrive at your home once a month until you child’s fifth birthday or moves out of Brantford or Brant County.

Dolly Parton’s Imagination Library Registration Form