Parent Pledge

Fifth Year

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Parent Pledge 

Year Five

Thank you registering your first child in the First Library program. Yearly parent pledges by both parents (if applicable) are required for participation in the program. Please submit the form for continued participation in our program.

MM/DD/YY
Child's Gender*
I pledge to read to my child daily.*
I pledge to visit my local library monthly.*
I pledge to provide 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.
I pledge to attend a library sponsored children's event every month.*
Story time, craft time, holiday time, movie time, etc.
I pledge to provide First Library documentation of my library sponsored event.*
Picture of event or copy/screenshot of program with library stamp and date. (Ask checkout clerk to stamp and/or date flyer).
I pledge to borrow a classical music cd monthly. *
I pledge to provide documentation of my classical music cd check-out.*
Original, copy or screenshot of check out receipt. Screenshot of borrowed cd (dated return sticker must be clearly displayed). May be included in library visit documentation. See below.
I pledge to borrow an art book monthly. *
I pledge to provide documentation of my art book check-out.*
Original, copy or screenshot of check out receipt. Screenshot of borrowed art book (dated return sticker must be clearly displayed). May be included in library visit documentation. See below.
My child's participation may be revoked at any time if documentation is not provided. *
SUBMIT
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Click this text to start editing. This simple title and text block is great for welcome or explanatory text. When writing, try to keep things down to a few lines at a time. Break up your content into different blocks to keep your page interesting.

Click this text to start editing. This simple title and text block is great for welcome or explanatory text. When writing, try to keep things down to a few lines at a time. Break up your content into different blocks to keep your page interesting.