DPIL Waitlist - United Way of Collier and the Keys

Join the Waitlist

Sign up and be among the first registered when Dolly Parton's Imagination Library Comes to your zip code in Collier County!

Child's Name*
Please enter your child's first and last name.
First Last
Child's Birthdate*
Children must be younger than 5 years old to be registered for this program. Please enter their date of birth below.
Sex*
Please select your child's sex (M or F).
- Male
- Female
Parent/Guardian's Name*
If you are the child's parent or legal guardian, please enter your first and last name below. If not, please enter the name of their parent or legal guardian.
First Last
Phone Number
Please enter the phone number you would like us to contact you at should we have any issue with your child's registration.
Email
Please enter the email you would like us to contact you at should there be any issue with your child's registration. You will also receive an email confirmation that we have received this form and your child has been added to the waitlist.
Enter Email Confirm Email
Mailing Address*
Please enter the home address of your child to which you would like the books mailed.

Street Address Address Line 2 City State ZIP Code
Consent*
This child is a resident of Collier County
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 datasets 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 signing and submitting this form you expressly consent to the terms set forth herein.
Comments
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