First Library Plus 

Parent Pledge 

First Year


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Parent Pledge

Year One

MM/DD/YY
Child's Gender *
I pledge to read to my child daily.*
I pledge to submit a daily reading log. *
I pledge to visit my local library monthly.*
I pledge to provide First Library Plus documentation of my library visit.*
Original, copy/screenshot of check out receipt. Screenshot of borrowed books (dated return sticker must be clearly displayed). See below.
I agree to obtain quarterly participation documentation from my referring service provider. *
Email or written documentation from office
I pledge to answer quarterly reading surveys. *
I agree to answer semiannual parent questionnaire. *
My participation may be revoked at any time if the above is not provided or for any reason. *
How did you hear about First Library Plus?*
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Thank you! Your message was sent successfully.

Thank you for applying for the First Library Plus program for yourself and your first child. 

Yearly parent pledges are required for participation in the program.

Please submit the form for admittance into our program.

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