Child's Name * School * Grade * - None -Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th Grade School ID Number * Parent or Guardian’s name * Phone number * Reason (optional) Acknowledgements, Authorization and Release By signing this form, I understand that my child will not have an All Ready Access library account. I also understand that by signing this form, my child will not be able to participate in classroom use of library resources unless they have a Dauphin County Library System card and know the full card number and PIN. Please type your name * Date *
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