Parent Pledge

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Third Year

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Parent Pledge
Year Three

Thank you for your child's continued participation in the First Library program.

Yearly parent pledges are required for participation in the program. Please submit the form for your child's continued participation in our program.

First Name*

Last Name*

Email Address*

Zip*

Child's First Name*

Child's Last Name*

Child's Birth Date*

MM/DD/YY

Child's Gender*

FemaleMale

I pledge to read to my child daily.*

Read aloud daily

I pledge to visit my local library monthly.*

Visit library monthly

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

Original, copy or screenshot of check out receipt. Screenshot of borrowed books (dated return sticker must be clearly displayed). See below.

Library visit monthly

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

Picture of activity or copy/ screenshot of program with library stamp and date. (Ask checkout clerk to stamp and/or date flyer).

Library activity monthly

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

Picture of activity or copy/screenshot of program with library stamp and date. (Ask checkout clerk to stamp and/or date flyer).

Library activity monthly

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

I accept

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Parent Pledge

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Parent Pledge Year Three

Parent Pledge
Year Three