Summer Reading Registration 2016
Welcome to the Summer Reading Program 2016 - On Your Mark - Get Set - READ!
Children - Tweens - Adult
Registration is open both online and in-person at the Cimarron City Library. This form must be completed for each person (child, tween & adult) registering for SRP.
First Name *
Your answer
Last Name *
Your answer
Adult Contact Name *
Please provide parent/caregiver name if registering a minor. If you are over 18, re-enter your name.
Your answer
Phone Number and/or Email Address *
Please provide the best way to contact you, if you should win a prize. We promise not to share your contact information with anyone else.
Your answer
If you would like to receive a text - please provide Cell Phone Provider Information
Your answer
Permission to Photograph and/or Videotape
I am 18 year or older, or the legal guardian/parent of the child listed.
I understand that the Cimarron City Library may photograph or videotape the events or activities in which I (or my child) am participating. I give permission for CCL to use photographs or videotape of me (or my child) for the purpose of promoting the library and its services/programs. I give my permission with the following understanding: No compensation of any kind will be paid to me (or my child) at this time or in the future for the use of my (or my child's) likeness. *
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