Name * Email Address * Select Your (Lead) Library * - Select -AppletonBlack CreekClintonvilleFremontHortonville IolaKaukaunaKimberlyLittle ChuteManawaMarionNew LondonScandinaviaSeymourShioctonWaupacaWeyauwega Other libraries cosponsoring applicant/event: Appleton Black Creek Clintonville Fremont Hortonville Iola Kaukauna Kimberly Little Chute Manawa Marion New London Scandinavia Seymour Shiocton Waupaca Weyauwega Performer(s) or Activity * Proposed number and location(s) of performance(s) * Amount requesting of OWLS * $ Briefly Describe the program or activity * Briefly describe the program you have planned and how it will strengthen your Summer Library Program. Anticipated Expenses Peformer(s) fee $ (or Activity Expense) Travel $ Favors/Prizes $ Refreshments $ Other $ TOTAL * $