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2023 Teen Summer Reading Program
Tatum Public Library Registration

TEEN - 7th Grade to 12th Grade

Responsible Party First Name:
Responsible Party Last Name:
Responsible Party Phone Number:
Responsible Email:
Responsible Party Mailing Address:
Responsible Party Mailing Address City:
Responsible Party Mailing Address State:
Responsible Party Mailing Address Zip Code:
I am the Responsible Party for the teen(s) listed on this form.
Reader's First Name:
Reader's Last Name:
Reader's School:
Reader's Grade in Fall:
PHOTO CONSENT:
 I understand that the Tatum Public Library may photograph, videotape, or audio record the events or activities in which I am (or my teen is) participating. I give my permission for the library to use photographs, videotape, or audio recordings of me (or my teen) for the purpose of promoting the library and its services/programs. I give my permission with the following understanding: No compensation of any kind will be paid to me (or my teen) at this time or in the future for the use of my (or my teen's) likeness.
PHOTO CONSENT:
An additional reader may be registered in this section. If you do not need to register an additional reader, please scroll down to the "NEXT" button.
Reader's First Name:
Reader's Last Name:
Reader's School:
Reader's Grade in Fall:
PHOTO CONSENT:
An additional reader may be registered in this section. If you do not need to register an additional reader, please scroll down to the "NEXT" button.
Reader's First Name:
Reader's Last Name:
Reader's School:
Reader's Grade in Fall:
PHOTO CONSENT:
An additional reader may be registered in this section. If you do not need to register an additional reader, please scroll down to the "SUBMIT" button.
Reader's First Name:
Reader's Last Name:
Reader's School:
Reader's Grade in Fall:
PHOTO CONSENT:
How did you hear about our Summer Reading Program?