I hereby affirm that I am the parent or legal guardian of the child listed above and that all information herein is accurate. I understand that in the case of injury or illness, a representative of the Charlotte Hobbs Memorial Library will make every attempt to contact me, the emergency contact listed above, and/or the family physician. If none of the listed contacts can be reached, the Charlotte Hobbs Memorial Library has permission to administer or allow first aid to be administered to my child and to call emergency services as needed. I accept all risks associated with my child's participation in the program.
