Feel free to contact us at 438-5581 or email firstname.lastname@example.org for assistance
BY SUBMITTING THIS FORM
I give permission for my child to attend the 2019 Summer Reading Program on
July 9, 11, 16, 18, 23 & 25, 2019 from 1:00-2:30 PM.
I understand that this program involves exercise, movement and being outdoors. The Kiowa County Public Library District and its staff and volunteers are not liable for potential injuries. I agree that my child can participate in outdoor activities as well as walk to other locations within Eads, CO (with library staff and volunteers present) to attend special events. I understand that KCPLD will notify me by note, phone and/or email to inform me when and where a special event will occur.
KCPLD has my permission to photograph and/or videotape my child, and that the library may use these for marketing and on social media sites like Facebook. I understand that no compensation of any kind will be paid now or in the future for the use of my child's likeness.