Pittston Library Summer Reading Program 2021
Event Timing: July 5th - July 31st
Event Address: 47 Broad Street, Pittston, PA 18640
Contact us at (570) 654-9565 or pittstonlibrary@luzernelibraries.org
Online or In-Person at the library will ask the same questions. READOS or Reading Logs are available at the Library.
Email *
Name *
Age *
Email *
Full Address *
Phone Number *
Photo Release Agreement
I do hereby give Pittston Memorial Library, its assigns, licensees, and legal representatives the irrevocable right to use by name, picture, portrait, or photograph in all forms and media and in all manners, including composite representations, for trade, educational, public relations, or any other lawful purposes, and I waive any right to inspect or approve the finished product, including written copy, that may be created in connection therewith. I am of full age. I have read this release and am fully familiar with its contents.
In short, is it okay for the library to put yourself or your child's image on our social media pages and/or news releases? *
If under 18 please list name & phone of parent/guardian as confirmation of above.
A copy of your responses will be emailed to the address you provided.
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