Brantford Brant Imagination Library Wait List

Brantford Brant Imagination Library Registration Application

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

Along with the free books, the Brantford-Brant Imagination Library offers support to parents through Kids Can Fly.

WE ARE CURRENTLY TAKING A WAITING LIST FOR THE IMAGINATION LIBRARY IN BRANTFORD AND BRANT COUNTY UNTIL FURTHER FUNDING IS SECURED.

Please fill out the information below to have your child added to the list.

Your child must be under 5 and live in Brantford/Brant County.

Thank you for your patience.

Child's Name*
First Last
Child's Date of Birth (mm/dd/yyyy)*
MM
DD
YYYY
Gender*
- Male
- Female
Parent's Name*
First Last
Phone*
(555)555-5555
Address*
Street Address Address Line 2 City Province Postal Code

If you move, please notify Brantford/Brant Imagination Library at Kids Can Fly 519-771-2543 or send an email to admin@kidscanfly.ca. Your child will be eligible for this program as long as you move to an address within Brantford/Brant County.
Email*
I confirm that my child is a resident of Brantford/Brant County*
- Yes
- No
Only children in Brantford/Brant County are eligible to receive books through the Brantford/Brant County Imagination Library.
Where did you hear about the Brantford Brant Imagination Library?*
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