I understand that my child will be attending ‘Tweens and Teens ’ at the Benton County Library.  I further understand that part of the programs will include movies, based on books or chosen book themes, and that these movies will be rated above PG.  By my signing, I agree for my child to participate in this program and view the materials chosen by the library staff.  I understand that I will have advance knowledge of the movie my child will see, and the rating, and may choose not to have my child participate. I understand there may be associated field trips and I may choose to have my child attend and ride the bus or not.

Name of Child______________________
Name of Parent_____________________
Parent Signature____________________
Date______________________________

The ‘Tweens and Teens’ Program for this quarter will be held on Friday, August 12th . This will be our back to school program. We will be showing the movie(s), Where the Wild Things Are. The program will start at 3 p.m . and end at 4:30 p.m. Please be prompt in picking your children up at the library. They will be fed snacks.

We will not be leaving the library for any associated activities with this program.
OR (highlight one)
We will be leaving the library for the following activity___________________. 
We will travel by school bus to______________at _______________ (time).

By my signature below I give permission for my child ___________________ to participate in the program outlined above, see the movie, and/or ride the bus to attend associated activities, and state that I have read the plan and agree to the program for this quarter.

Name of Parent ______________________________
Parent Signature______________________________
Emergency Contact Number____________________
Childs Name________________________________

*All permission slips and registration for programs must be completed and turned in one week before the program to guarantee your child’s space.