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"[A] book ... unlike a television program, moving picture or any other 'modern means of communication' ... can wait for years, yet be available at any moment when it happens to be needed."

—Joseph Wood Krutch (1893-1970) American critic, natrualist, writer, The Modern Temper

 

Internet Access Parental Consent Form

Parental Consent Form

By signing below, I assume responsibility for my child's actions and acknowledge that restriction of my child's access to the Internet is solely my responsibility as his/her parent/guardian.

I have read the Rules for the Use of Public Computers and have instructed my child in the rules governing the Library’s Internet access. I realize that not every site on the Internet may be desirable for underage individuals. I understand these rules and the Library’s position and agree to abide by the guidelines and policies.



I give my permission for my child to use the Internet station unattended. YES ______

Parent or Guardian’s Signature

__________________________________________________

Please print name of parent below and name of child covered in this consent form (Please use a separate form for each child using the Internet.):

Parent:__________________________________________________________________

Child's Name: _______________________________________

School Grade: _______________________________________

Date: ________________

Child's Library Bar Code Number (if available)

_________________________________________________

Address__________________________________________

Phone______________________



Approved by the Roxana Public Library District Board of Trustees; revised November, 1999; February , 2006.

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Location and Hours

LOCATION

200 North Central Avenue

Roxana, IL 62084

618-254-6713

 

HOURS

Monday-Thursday

10-8

Friday-Saturday

10-5

Closed Sunday

 

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