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Parent Pledge

Fifth Year

Parent Pledge 

Year Five

Thank you registering your first child in the More First Library program. Yearly parent pledges are required for participation in the program. Please submit the form for continued participation in our program.

First Name*

Last Name*

Email Address*

Zip*

Child's First Name*

Child's Last Name*

Child's Birth Date*

Child's Gender*

I pledge to read to my child daily.*

Select an option

I pledge to visit my local library monthly.*

Select an option

I pledge to provide documentation of my library visit.*

Select an option

I pledge to attend a library sponsored children's activity every month.*

Select an option

I pledge to provide First Library documentation of my library sponsored activity. *

Select an option

I pledge to borrow a classical music cd monthly. *

Select an option

I pledge to provide documentation of my classical / opera music cd check-out.*

Select an option

I pledge to borrow an art book monthly. *

Select an option

I pledge to provide documentation of my art book check-out.*

Select an option

My child's participation may be revoked at any time if documentation is not provided. *

Select an option

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