2018 Children's Summer Reading Registration
Please submit a Summer Reading Registration form for the children of your family participating in the Summer Reading Program at the Lindsborg Community Library! Having these on file helps our statistics, enables us to use pictures taken that might include you, and provides us with contact information in case you win a prize drawing!
Child's Name and Age *
Your answer
Child's Name and Age
Your answer
Child's Name and Age
Your answer
Child's Name and Age
Your answer
Child's Name and Age
Your answer
Email Address
Your answer
Mailing Address
Your answer
Phone Number
Your answer
Parent/Guardian Name *
Your answer
Photo Release Consent: I understand the Lindsborg Community Library may photograph or videotape the events or activities in which I or my child may be participating. I give my permission for the Library to use these pictures or videotape for the purpose of promoting Summer Reading and Library events. 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. *
Required
I give permission for the above named individual(s) to participate in the 2018 Summer Reading Program with the Lindsborg Community Library. *
Required
Electronic Signature of Adult Parent/Guardian *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service