Please fill out the registration form for Video Game Night, June 15th at Laura’s Library.
Limited to 20 teens.
Your Name (required)
Your Parent's Name (required)
Your Age (required)
Parent's Telephone (required)
Parent's Email (required)
Food or Other Allergens (optional)
Photo Release Consent (optional - requires parent approval)
If you agree to the following conditions, please have your guardian check the box. If not, please leave blank.
"I hereby authorize Westbank Community Library District, hereafter referred to as “Library,” to publish photographic images of my child/children attending, and our names and likenesses, for use in the Library's print, online and video-based marketing materials, as well as other Library publications. I further acknowledge that participation is voluntary and that neither I, nor children will receive financial compensation of any type associated with the taking or publication of these photographic images."