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Minor Volunteer Release Form

  1. Student Information

    Please provide the following information about the student volunteer.

  2. Parent/Guardian Contact Information

  3. Emergency Contact

  4. Persons Authorized to Pick Up the Participant

  5. I certify that I am the parent or legal guardian of the minor child listed above. I authorize Williamson County Library personnel to provide emergency medical care for my child participating in the volunteer program. I understand as legal parent or guardian of the minor that Williamson County and the Williamson County Library, their agents and employees, and volunteers are not responsible for any injury to the minor which may result from the minor participating in any volunteer activities. I agree to hold harmless, indemnify and release Williamson County, Williamson County Library, their agents and employees, and any other volunteers from any liability for any injury or damage sustained or associated with the participating in any volunteer activities.

  6. Electronic Signature Agreement for Parent/Guardian*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  7. Electronic Signature Agreement for Participant*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  8. Leave This Blank:

  9. This field is not part of the form submission.