Imagination Library Registration Form How did you find out about the Imagination Library program?(Required)-- Options --Public Health Nursing Immunization ClinicSocial MediaWord of mouth (friend or family told me)Daycare CenterNewspaperNews (online or tv)Speech-Language Pathology ClinicOtherTo be eligible to participate in this program, you and your child must be year-round residents of Prince Edward Island. Are you year-round residents of Prince Edward Island?(Required)YesNoYour child’s last name(Required)Your child’s middle initialYour child’s first name(Required)Your child’s birthday(Required) Month Day Year Address(Required)Please add your full mailing address including PO Box (if applicable) and your postal code. Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Your Name(Required) First Last Your Phone(Required)Your Email(Required) Please read the following terms and conditions carefully: 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 datasets 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 www.imaginationlibrary.com. By entering your first and last name above and submitting this form you expressly consent to the terms set forth herein. I have read and understand the terms and conditions.(Required) Yes Would you like to subscribe to our quarterly e-news mailing list to receive updates on the Imagination Library program and other PEI Literacy Alliance programs and services?YesNoSorry, you must be a permanent resident of Prince Edward Island to participate in this program.Please visit the Imagination Library website to see if this program is available where you live. CommentsThis field is for validation purposes and should be left unchanged.