Cameron R-1 Book Access/Restriction Form
The Cameron R-1 School District recognizes the essential role of parental involvement in students' education. In order to address concerns regarding book content and provide parents with a choice regarding their child's reading options, we ask that you please review this Library Book Access/Restriction Form which has been updated for the 2025-2026 school year. This form enables parents to control their child's access to books made available to students in their respective buildings.  Please review the form and select the options that best meet the needs of your family.  If you choose to not complete this form, your non-response will be interpreted as a vote for restricted access for your child. 

Each school library's book inventory can be reviewed on the individual school's Destiny website, which is linked below.  Students attempting to check out books restricted by their parents/guardians will be denied access until such time as parent/guardian permission is obtained.  This access/restriction form will remain in effect until the first day of school of the following school year.

Please note that a separate form must be completed for each child in your family attending Cameron R-1 Schools and should only be completed by a parent/guardian with educational rights to the child.  Please direct all questions regarding this form to your child's building principal.





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Today's date: *
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School attended by Child *
Child's current grade level:

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Child's Last Name: *
Child's First Name: *
First and last name of parent/guardian completing this form: *
Parent/Guardian Email: *
Parent/Guardian Phone Number: *
By completing this form and choosing an option below, I am choosing to exercise my parental right to restrict or allow specific material for my individual child in accordance with Cameron R-1 School Board Policy I-181-P.  I am aware that I am allowed to change my mind regarding access or restriction and may resubmit an additional form at any time between the initial date of completion and its expiration date of July 1, 2025. *
Please number your list and provide both the title and the author of each book you are requesting be restricted in addition to the school's restricted book list.  You may also post a link to your list created as a Google doc.
By submitting this form, I acknowledge that I have reviewed Cameron R-1 School Board Policy I-181-P, and have made my parental choices known by selecting an option regarding my child's access to books in their respective school.

Please type your full name below to confirm.
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A copy of your responses will be emailed to the address you provided.
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