Slq Membership Parent/guardian Consent Form printable pdf download

Slq Membership Parent/guardian Consent Form

SLQ membership

Parent/Guardian consent form

Dear Parent/Guardian,

If your child is 15 years of age or younger, please complete this form to give your consent for your child to:

•

Access SLQ computers without supervision, including Internet access

•

Borrow items from our Information Collection

Find out more:

Member (child) details

Last name ______________________________________________________________________________________________

First name ______________________________________________________________________________________________

Parent/Guardian details

Last name ______________________________________________________________________________________________

First name ______________________________________________________________________________________________

Residential address ______________________________________________________________________________________

Suburb/Town ___________________________________________________________________________________________

State ___________________________________________________________ Postcode _____________________________

Email __________________________________________________________________________________________________

Declaration made by Parent/Guardian

I declare that:

•

I am the parent/guardian of the applicant

•

I grant permission for the applicant to use computer facilities at State Library of Queensland without supervision.

•

I grant permission for the applicant to borrow items. I will ensure items are returned by the due date and I agree to

pay replacement costs of items not returned, or repair costs for items returned damaged.

Parent/Guardian signature _________________________________________________________________________________

Date ___________________________________________________________________________________________________

Please return this form in person at the Welcome Desk on level 1, or Information Desk on level 2 and 3 at State Library of

Queensland, South Bank.

Staff use only (please tick)



Parent ID sighted



PAC access enabled



User group upgraded to Qld Borrower

Slq Membership Parent/guardian Consent Form