Please print your answers on the application and return it to the Winnetka or Northfield Library. If you have any questions or need more information, contact the Youth Services Department of the Main Library at 847 446–7220 or the Northfield Library at 847 446-5990..

Name: __________________________________________________________________

Address: ________________________________________________________________

________________________________________________________________________

Phone Number: __________________________________________________________

School Name: ________________________________________ Grade: ____________

E-mail Address: __________________________________________________________

Please answer the follow questions to help us get to know you better.

What sub-committee would you be interested in?

_____ Book Reviews _______ Programming

_____ Public Relations _______ Websites

What are some of your hobbies and interests?

________________________________________________________________________

What is your favorite book of all time?

________________________________________________________________________

Please list your other extracurricular school activities.

________________________________________________________________________

I give permission for my child, _________________________________, to be part of the Winnetka-Northfield Public Library District COOL – Council of our Library.. As a part of the Council, I understand my child will attend monthly meetings and may receive E-mail from librarians about upcoming programs, meeting dates and ongoing projects.

Parent signature ________________________________________ Date:_____________