As a participant in a YCPL Teen Program, I agree to respect the library, my fellow program participants, and library staff. I will follow staff instructions and agree to abide by library rules. My parent/legal guardian and I both understand that if there are any issues, library staff may contact my parent/guardian to pick me up at any time during the event. Inappropriate conduct includes, but is not limited to:
List any allergies, medications needed, etc. for the teen that library staff need to be aware of in the box above.
By typing my name below, I hereby agree to the Teen Code of Conduct.
By typing my name below, I hereby give permission to the child listed above to attend and participate in teen programs at the York County Public Library. I understand that my child will be under adult supervision within the library for the duration of the program.
** If this information changes, it is the responsibility of the parent/guardian to notify library staff and complete a new permission form. **
Check this box if teen has permission to drive themselves.
Name & Phone
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