Permission to
Read Older Interest
Level Book

Datefield type date
Student Number*field type single line
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Birth Date*field type date
School*field type single line
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Gradefield type single line
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First Name*field type single line
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Middle Namefield type single line
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Last Name*field type single line
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Mother First Namefield type single line
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Mother Last Namefield type single line
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Father First Namefield type single line
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Father Last Namefield type single line
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The completed form will be sent to the following email address(es):
Mother Email Address(es)field type single line
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Father Email Address(es)field type single line
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The Young Adult Library Services Association (YALSA) of the American Library Association (ALA) defines a young adult as someone between the ages of twelve and eighteen. The subject matter and story lines of YA literature are typically consistent with the age and experience of the main character. This necessitates a shift in content provided to elementary students, middle school students, and high school students because of the differences in age and development. Therefore, we encourage parents to help students in this age range pick books that they feel are appropriate for their student.
For this reason, we ask that you sign this form giving permission for your child to read.
Permission:*field type radio button
Permission:My student can read any book in your libraryI will specify the title(s) for which I give permission
Title(s)
Book Title*field type single line
Row 1× Book Title*field type single line
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Add a Title
Parent Signature*field type signature
Datefield type date

	Book Title*field type single line
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Hidden Section

Parent IDs
PersonIDfield type single line Student Contact Assoc IDfield type single line RelationshipIDfield type single line
Add
Mother IDfield type single line
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This field contains a calculation error.
References: Parent IDs RelationshipID, Parent IDs PersonID, Parent IDs RelationshipID, Parent IDs PersonID, Parent IDs RelationshipID, Parent IDs PersonID, Parent IDs RelationshipID, Parent IDs PersonID, Parent IDs RelationshipID, Parent IDs PersonID, Parent IDs RelationshipID, Parent IDs PersonID, Parent IDs RelationshipID, Parent IDs PersonID, Parent IDs RelationshipID, Parent IDs PersonID, Parent IDs RelationshipID, Parent IDs PersonID, Parent IDs RelationshipID, Parent IDs PersonID

Father ID

This field contains a calculation error.
References: Parent IDs RelationshipID, Parent IDs PersonID, Parent IDs RelationshipID, Parent IDs PersonID, Parent IDs RelationshipID, Parent IDs PersonID, Parent IDs RelationshipID, Parent IDs PersonID, Parent IDs RelationshipID, Parent IDs PersonID, Parent IDs RelationshipID, Parent IDs PersonID, Parent IDs RelationshipID, Parent IDs PersonID, Parent IDs RelationshipID, Parent IDs PersonID, Parent IDs RelationshipID, Parent IDs PersonID, Parent IDs RelationshipID, Parent IDs PersonID

Permission to
Read Older Interest
Level Book

Title(s)

Hidden Section

Parent IDs

Mother Phone Numbers

Father Phone Numbers

Permission toRead Older InterestLevel Book

Mother Phone Numbers

Father Phone Numbers

Permission to
Read Older Interest
Level Book