Permission Form

Please fill out a seperate permission form for each participant

Child's Name (required)

Name of Parent (required)

Contact Phone # (required)

Email Address (required)

Address (required)

Parent / Guardian permission* I give permission for my child (ages 8+) to attend the Nerf Battle at the Port Orford Public Library , from 3 pm to 4:30 pm on the second Saturday of each month. I understand that my child will not be allowed to exit and re-enter during the program. Library doors will open before the games at 3 pm and locked at 3:15 pm. Latecomers will not be admitted. Parents are welcome to stay during the program but regular Library service is not available at that time. While noise level rules will be more relaxed, the standard library rules of conduct still apply. In addition, I understand that if my child is not behaving in a manner compliant with the "Rules of Nerf Wars", I may be contacted before the conclusion of the program. I agree, if contacted, I will promptly come for my child. I confirm that my child is 8 years old or older. I agree not to hold the Port Orford Public Library District , responsible for any accidents or mishaps which may involve my child. If my child should become seriously ill or injured, I authorize the staff of the Port Orford Public Library to arrange for any emergency medical care required. By checking the “I agree” box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date. (required)

I agree, Electronic Signature

Parent/Guardian electronic signature (required)

Todays Date (required)

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