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Parent Pledge

Thank you registering your first child in the First Library program. A parent pledges is required for participation in the program. Please submit the form for admittance into our program.

First Name*

Last Name*

Email Address*


Child's First Name*

Child's Last Name *

Child's Birthdate*

Child's Gender*

Select an option

I pledge this is my first child.*

Select an option

I pledge to read to my child daily.*

Select an option

I pledge to visit my local library bimonthly. *

Select an option

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

Select an option

My child's participation may be revoked at any time if proof of my library visits are not provided. *

Select an option

How did you hear about First Library?*


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