23-24 Library Agreement
The following form MUST be completed in order to check out books from the Solomon Elementary School Library.
Note: This form must be filled out for EACH child attending SES.
Sign in to Google to save your progress. Learn more
Email *
Student name: *
(First and Last)
Student's teacher: *
Grade level: *
I give my child permission to check out up to two books from the SES library. (Note: PreK-1st grade students will only be able to check out 1 book.) *
I will encourage my child to keep the library books in their backpack, away from water bottles, so they will be safe and ready to return. *
** STUDENTS WILL NOT BE ABLE TO CHECK OUT ADDITIONAL BOOKS IF THEIR PREVIOUS BOOKS WERE NOT RETURNED. **
I agree that library books must be returned to ensure that new book check-outs will be possible. *
I understand and agree that I am fully responsible for the borrowed books. If books are lost, stolen, or damaged, I will notify the school as soon as possible. I agree to return all books to the library in the same good working condition as it was when checked out. *
I understand and agree to pay the replacement cost for lost/never returned or damaged books. I understand that book replacement costs will be charged if a book is lost, not returned, or damaged. My child's borrowing privileges will be blocked until the book is returned in working order and/or outstanding replacements costs have been paid at the front office. *
The name of the parent/guardian agreeing to the terms listed above is: *
Date of agreement: *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Hawaii Department of Education. Report Abuse