If you answer 'Yes', you are agreeing that your child can borrow library items each week during the program, and that you are responsible for: ensuring items are taken care of; items are returned; and that you will to pay any/all fines/fees charged on your account for late, damaged, and/or lost items.
Feel free to contact us at 719-438-5581 or email firstname.lastname@example.org for assistance.
BY SUBMITTING THIS FORM
I give permission for my child to attend the 2022 KCPLD Summer Reading Program on June 29 and July 6, 13 & 20, 2022, from 1:00-2:30 PM on the Kiowa County Courthouse lawn in Eads, Colorado. Should inclement weather occur, I understand the program will be moved inside the Courthouse building.
I give permission for my child to interact in close proximity with multiple children in an outdoor and/or indoor area. I understand that this program involves exercise, movement, and being outdoors. I understand 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, text, 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, to use the pictures and/or videos for marketing purposes, and to post them on our website or 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.