Birth - 12th grade Summer Reading Program RegistrationChild's Name ( First, Last) (required)Age (required)Birth dateAddress (required)Parent/Guardian Name (required)Parent Phone Number (required)emailChild's grade in August 2025 (required)Check the Summer Reading Group your child will be attending (required)Birth to 5 years old (entering Kindergarten) with Mrs. Rhonda1st - 3rd grade with Mrs. Rhonda4th - 6th grade with Ms. Mackenzy7th - 12th grade with Ms. MckenzyMy child has permission to participate in the Robertson County Public Library Summer Reading Program. I agree not to hold the library responsible for accidents. I understand that the Robertson County Public Library may record or photograph the event or activity in which I am (or my child) is participating for the purpose of promoting its services and programs. I give permission with the following understanding: No compensation of any kind will be paid to me (or my child) at this time or in the future for the use of my (or my child's) likeness. (required)Your Signature (required)Confirm e-SignatureReview Electronic Records and Signatures Policy (required)Read our Electronic Record and Signature Disclosure I agree to use electronic records and signaturesThere was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.
