In case of an emergency, please provide medical insurance information:
The signature of a parent or legal guardian will be required on or before the day of participation. You may sign this form in the signature box below or in person at the library before the event begins.
By signing this form, you give permission for the child listed above to participate in the Mathews Memorial Library Spring Break Trip. You agree to provide them a lunch and transportation to and from the library. Photos taken of participants during the program may be used on our website, social media or in-library displays promoting programming.
