I understand that Use Agreements will need to be signed in Spark Place for each group member (or their responsible adult if under the age of 18.) This requirement is waived for school visits ONLY, per Ohio Guardian ad Litem law.

Contact Information

Name*

First Last

Telephone*

Email Address*

Organization

Who is attending?

Total number of people attending*

Please enter a number greater than or equal to 4.

Number of adults

Number of kids (under 18)

Age range of kids

What kind of group are you?*

School

4H

Scouting

Daycare

Work group

Other

As a scouting group, are you interested in a class where scouts would complete work towards a badge?

Yes

No

Are you interested in a general visit?*

Yes

No

What is your learning goal, or is there anything specific you would like to do during your visit?

Requested dates

Please list 3 different days and times (at least two weeks out) you would be able to come in, based on our hours of operation., opens a new window

Two-week-notice*

I understand that Spark Place requires a minimum two weeks’ notice to schedule.

Requested date 1*

MM slash DD slash YYYY

Time 1*

Hours

:

Minutes

AM/PM

Requested date 2*

MM slash DD slash YYYY

Time 2*

Hours

:

Minutes

AM/PM

Requested date 3*

MM slash DD slash YYYY

Time 3*

Hours

:

Minutes

AM/PM

Comments

This field is for validation purposes and should be left unchanged.

Can you tell me more about this webform submission?

The contents of this webform are sent to library staff via email. We recommend that you do not submit confidential information (like your library card number, passwords or credit card information). If you need to share confidential information with library staff, we suggest that you use other channels of communication, such as the telephone.

Visit our Privacy Statement, opens in a new window, opens a new window to learn more about how your personal information is handled and protected.

This information will be submitted via email. .

Note: If you do not hear back from us within a week, please call us at 937-736-7092.

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