Summer Reading Program Registration/Permission Form

Required
Required
Required
Required
Required
Required
Required
Required

By submitting this form, you are granting permission to the following:

I understand the City of Villisca may photograph or videotape the events or activities in which my child is participating. I hereby grant permission to the City of Villisca  to use submitted photographs and video on our social media sites, library websites, and other official publications. I give my permission with the following understanding that these photographs/video may be used for publication, advertisement, and promotions for the City of Villisca and/or Villisca Public Library website, Facebook, newsletters, scrapbooks, or other official publications and displays without further consideration or compensation. I also acknowledge their rights to edit photographs/video at their discretion. I hereby give permission and authorize the City of Villisca and/or Villisca Public Library to use and reproduce submitted photographs/video of my child/children for an undetermined time limit.

I hereby grant permission for my child/children to participate in an event sponsored by the Villisca Public Library. I give permission for my child/children to travel with and/or participate in the Villisca Public Library Summer Reading Program at the Villisca Public Library,  Villisca Community Building, the Early Childhood Education Center (ECEC), and/or at the Villisca City Park.