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West Allis Public Library Visit Request
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This form has been modified since it was saved. Please review all fields before submitting.
Name
Email Address
School / Organization Name
Address
City
State
Zip Code
Phone Number
Email Address
Number of Participants
Age or Grade
Will students be checking out books?
Yes
No
Are the students special needs?
Yes
No
Special needs description:
Topic for visit:
Please specify four dates / times, Monday through Friday.
Date / Time 1
Date / Time 1
Date / Time 1
Date / Time 2
Date / Time 2
Date / Time 2
Date / Time 3
Date / Time 3
Date / Time 3
Date / Time 4
Date / Time 4
Date / Time 4
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