In Your Element Registration Form

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Use this form to register for Summer @ Your ORLA Library! This form is also used for our younger participants in Bouncing Babies and Storytime. Note that you do not need to fill it out if using a paper form from your library.

电子邮件地址 *

Participant's Name: *

Guardian or Responsible Adult's Name (if different than participant) *

Home Library (where you will participate) *

Oil City Library

Franklin Public Library

Cooperstown Public Library

Phone Number *

Age *

Birth-4

5-8

9-12

13-18

19 & up

School (Please put N/A for adults) *

I authorize the Oil Region Library Association to use any photos of our Summer @ Your ORLA Library activities that I may provide in promotional and marketing material. This authorization may include my or my child's/children's likeness. ***Please note that photo authorization is not necessary for participation in this program. *

Yes

You may use photos, but with no names attached.

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