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2023 Summer Reading Program
Tatum Public Library Registration

Children - 6th Grade & Under

Responsible Party's First Name:
Responsible Party's Phone Number:
Responsible Party's Last Name:
Reader's First Name:
Reader's Last Name:
Reader's Mailing Address:
Reader's Mailing Address City:
Reader's Mailing Address State:
Reader's Mailing Address Zip Code:
Reader's School:
Reader's Grade in Fall:
Reading Log Type:
PHOTO CONSENT:
I understand that the Tatum Library may photograph, videotape, or audio record the events or activities in which I am (or my child is) participating. I give my permission for the library to use photographs, videotape, or audio recordings of me (or my child) 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 child) at this time or in the future for the use of my (or my child’s) likeness.
PHOTO CONSENT:

An additional child may be registered in this section. If you do not need to register an additional child, please scroll down to the "NEXT" button.

Reader's First Name:
Reader's Last Name:
Reader's Mailing Address:
Reader's Mailing Address City:
Reader's Mailing Address State:
Reader's Mailing Address Zip Code:
Reader's School:
Reader's Grade in Fall:
Reading Log Type:
PHOTO CONSENT:
An additional child may be registered in this section. If you do not need to register an additional child, please scroll down to the "SUBMIT" button.
Reader's First Name:
Reader's Last Name:
Reader's Mailing Address:
Reader's Mailing Address City:
Reader's Mailing Address State:
Reader's Mailing Address Zip Code:
Reader's School:
Reader's Grade in Fall:
Reading Log Type:
PHOTO CONSENT:
An additional child may be registered in this section. If you do not need to register an additional child, please scroll down to the "SUBMIT" button.
Reader's First Name:
Reader's Last Name:
Reader's Mailing Address:
Reader's Mailing Address City:
Reader's Mailing Address State:
Reader's Mailing Address Zip Code:
Reader's School:
Reader's Grade in Fall:
Reading Log Type
PHOTO CONSENT:
How did you hear about our Summer Reading Program?