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DPIL Address Change

Please fill in the information below with the most current address information for your child. Thanks

Child's Name (First Last)*

Parent's Name (First Last)*

Previous Address

Please fill in the address that you registered your child at with Imagination Library.

Prior Street*

Prior City*

Prior State*

Prior Zip*

New Address

Please fill in the current address for your child. Please be aware that ONLY Columbia, MO address qualify for this Imagination Library Program.

New Street*

New City*

New State*

New Zip*

Phone *

Questions

If you have any questions please contact Sarah Howard at Columbia Regional Library at 573-817-7045 or showard@dbrl.org