After-Hours Permission 

Please complete this form before bringing your child to the program on Friday, October 13, 2023.

Sign in to Google to save your progress. Learn more
Email *
Child's Name *
Grade *
Name of Parent/Guardian
*
Emergency Contact Phone Number
*

Please provide any information about your teen that might be helpful (allergies, medication, special needs, etc.). 

I give permission for my child to attend the Haunted Library program on Friday, October 13, 2023. I will bring my teen (7-12 grade) at 7 p.m. and my tween (4-6 grade) at 8 p.m. I understand that my child will not be allowed to exit and re-enter the program, that latecomers will not be admitted, and that I must pick up my child from the Library promptly at 9 p.m. 

I understand that if my child is not behaving in a manner compliant with the Library’s Code of Conduct, I may be contacted prior to the designated pick up time. I agree that if contacted to pick up my child that I will come to the Library and take my child home.

I assert that my child is between the grades of 4 and 12. I agree not to hold the Baldwin Public Library responsible for any accidents or mishaps which may involve my child. If my child should become seriously ill or injured, I authorize you to arrange for any emergency medical care needed. 

Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Baldwin Public Library. Report Abuse