Summer Reading 2020 Registration Form
Summer Reading Registration
Participant's First & Last Name (One participant per registration - please complete an additional registration "form" for each additional participant - thanks!)
City, State, Zip
Grade going into this fall
Infant-Toddler not yet in Preschool
Emergency Contact Info for Minors-First & Last Name & Phone # (if registering an adult, indicate N/A)
Permission for minor's name/likeness to be used in media (no compensation is offered for use of likeness)
I GIVE permission for my name/likeness (if adult) or this minor's name/likeness to be used in the newspaper, social media, etc.
I DO NOT GIVE permission for my name/likeness (if adult) or this minor's name/likeness to be used in the newspaper, social media, etc.
By entering my name below, I agree that I am registering myself or a minor child for whom I am responsible in the Valley Center Public Library Summer Reading Program.
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