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Parental Block for Movie/Mature Electronic Game Loan to Juveniles


Please use this form to prevent your child from borrowing Movies and Mature Electronic Games.

Parent name:


Phone Number:

Your email address:

Child's Name:

Child's Date of Birth:

Child's Library Card Number:

My child (a juvenile under the age of 18) may not borrow Movies and Mature Electronic Games.

I Understand that this parental block is in effect until my child's 18th birthday unless I come into the library, present identification and ask that the block be removed from this child's card.

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