Imagine Your Story -Summer Reading 2020 Registration
Email address *
Child's Name:
Address:
Phone Number
Age & Grade Entering
I consent to and authorize the use and reproduction of photographs and/or audiovisual materials of my child or other minors in my care by the Fletcher Memorial Library for use in publicity material, whether print or electronic format (Brochures, Newspapers, Website, Facebook, etc). I understand that my child's picture, name and/or age only may appear in such publicity material. *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy