Early Reader Book Club: 3/25

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Please fill out the form below to join us for our first kids book club on Tuesday March 25th from 4-4:45 pm where we will discuss Beti and the Round House with snacks and an activity.

Email *

Parent/Guardian/Caregiver Name

Parent/Guardian/Caregiver Phone Number

Child(s) name and age

Child's allergies, if any. (This is for snacks but please note the bookstore does have a cat so any severe pet allergies should be aware.)

Any health concerns we should be aware of

I acknowledge that this a drop off book club and my child is comfortable being without their parent/guardian/caregiver. Please initial.

Emergency Contact (other than parent listed above)

Photo Release

You may post pictures of my child on social media

You may post pictures of my child on social media that do not show their face

You may not post any pictures of my child regardless of whether their face shows

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Waiver: I hereby agree and declare that I am the legal parent or guardian of the above-named child and hereby consent to the child's participation in the activities that are described to me in registration process.

If the above-named child requires any emergency medical treatment or procedures during the activities, I hereby consent to activity supervisor(s) to make any decision and take any action to arrange for such procedures or treatments in the discretion of the activity supervisor(s).

I, the parent/guardian, hereby agree and declare that I understand the scope of the activities and I consent to the participation of the above-named child to these activities.

Please initial below.

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