Registration form

Use this electronic form to register for the national simultaneous storytime...

Instructions: Simply complete and submit this request form. Items in red are mandatory. If your web browser cannot handle forms, print out and complete the form, then fax or post to: ALIA National Office, PO Box 6335 Kingston 2604, fax 02 6282 2249.

Required fields are named in RED
name of library/school/centre
no. of branches/schools participating		no. of individuals participating
name of co-ordinator
address [this is where posters and bookmarks will be sent]
phone [incl area code]
fax [incl area code]
e-mail address
Additional information
Help make National Simultaneous Storytime even better! We'd like some extra information from NSS participants - to help us plan bigger, better storytimes in future. Responses are entirely optional.
What type of organisation are you?	Public library School	Pre school Childcare centre
	Other [please specify]
How did you hear about NSS?	ALIAnet inCite	ALIAnet e-list
	Other [please specify]
What is the age range [youngest-oldest] of your 2003 participants?		Is your organisation an ALIA member?	yes no
Did you participate in NSS in 2002?	yes no	..in 2001?	yes no

How do we use the data that you enter into this form? Check our privacy statement.

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