Haltom City Public Library 2017 Summer Reading Club Enrollment
If registering as an adult, please fill out the first four questions.
Name of Participant
City, State, Zip
If registering a child, please provide the following information:
Parent/Guardian Email Address
What school does the participant attend?
Child reads to self
Child is read to
As a parent of this child or these children, I give my permission for them and myself to be photographed or filmed for publicity purposes.
Yes, I agree this child can be photographed or filmed
No, I do not want this child photographed or filmed
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