Chess Workshops at ICB Name(Required) First Last Date of birth(Required) MM slash DD slash YYYY Age(Required)Email(Required) Phone(Required)Parent/Legal Guardian Name First Last If participant is less. than 18 years oldAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Release(Required) I UnderstandFor all programs, children under the age of fourteen (14) years must be accompanied by an adult. By enrolling your child, you give the City of Laredo permission to reproduce and publicize pictures or news articles pertaining to the Library as long as it is not a confidential matter. Release I hereby give my permission for this child to attend the selected Library program. I understand that all reasonable precautions will be taken to provide a safe program experience for this child, and that in consideration thereof for myself and for this minor child, and for the heirs, executors, and administrators and assigns of myself and this minor child, I hereby release the City of Laredo and the Laredo Public Library and their employees and volunteers from any liability or causes of indemnity and hold harmless the City of Laredo and the Laredo Public Library and their employees and volunteers from any claim arising against them by reason of actions taken by them on behalf of this minor child in this program.Consent(Required) I ConsentRegistration for each program is limited and on a first come, first served basis. A librarian will be in contact within one business day to confirm your registration.PhoneThis field is for validation purposes and should be left unchanged.
