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* 1. Name

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* 2. Age

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* 3. School

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* 4. Branch

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* 5. Parents Name

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* 6. Phone

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* 7. Email

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* 8. Book Interests

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* 9. Activity Interests

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* 10. To Be Completed By A Parent/Guardian: I am 18 years or older. I am a parent or legal guardian of the above mentioned Book Buzz participant. I understand that Tangipahoa Parish Library is conducting a virtual teen club via zoom where I would like my teen to participate. I give my permission for the library to communicate via email or zoom with my teen for book talks, games, activities, and challenges. I give my permission with the following understanding that teens will be supervised by an adult via zoom and a parent or guardian will be contacted if my teen participates in any unwarranted behavior.  

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