Dolly Parton Imagination Library

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Child's FULL Name*

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Child's Date of Birth*
DD slash MM slash YYYY

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Sex*
Phone number*

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Parent/Guardian's Name*

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Child's Home Mailing Address*
Address Line 1 Address Line 2 Town County Postcode

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Parent/Guardian's email address*

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Are you a constituent?*
Do you live in the West Lancashire Constituency?
Signature*
- I hereby explicitly consent to allow the Dollywood Foundation, Inc. to use the information provided herein for the purposes of participating in Dolly Parton’s Imagination Library book gifting program. To measure the benefits of this program we may create data sets with the information provided herein and share them with research and educational advancement partners. You agree to review our full Terms & Conditions and Privacy Policy by visiting imaginationlibrary.com. By checking the box and submitting this form you expressly consent to the terms set forth herein.
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Questions, queries or comments
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