Child's Information Name Name Birthdate Library Card Number Gender School Grade Phone Address Address City Postal Code Parent/Guardian's Information Name Name Phone Address Address City Postal Code Email Liability Waiver Signed? Yes NoEmergency Contact Information Name Name Home Phone Mobile Phone Relationship to the Child Preferred Branch, Date & Time(s) Preferred Branch Location King City Nobleton Schomberg Preferred Days & TimesPlease select all that apply. To remove a selection, click the day and time again. Tuesday, 3:30 - 4:30pm Tuesday, 3:30 - 4:30pm Tuesday, 4:00 - 5:00pm Tuesday, 4:00 - 5:00pm Tuesday, 4:30 - 5:30pm Tuesday, 4:30 - 5:30pm Tuesday, 5:00 - 6:00pm Tuesday, 5:00 - 6:00pm Tuesday, 5:30 - 6:30pm Tuesday, 5:30 - 6:30pm Tuesday, 6:00 - 7:00pm Tuesday, 6:00 - 7:00pm Tuesday, 6:30 - 7:30pm Tuesday, 6:30 - 7:30pm Wednesday, 3:30 - 4:30pm Wednesday, 3:30 - 4:30pm Wednesday, 4:00 - 5:00pm Wednesday, 4:00 - 5:00pm Wednesday, 4:30 - 5:30pm Wednesday, 4:30 - 5:30pm Wednesday, 5:00 - 6:00pm Wednesday, 5:00 - 6:00pm Wednesday, 5:30 - 6:30pm Wednesday, 5:30 - 6:30pm Wednesday, 6:00 - 7:00pm Wednesday, 6:00 - 7:00pm Wednesday, 6:30 - 7:30pm Wednesday, 6:30 - 7:30pm Thursday, 3:30 - 4:30pm Thursday, 3:30 - 4:30pm Thursday, 4:00 - 5:00pm Thursday, 4:00 - 5:00pm Thursday, 4:30 - 5:30pm Thursday, 4:30 - 5:30pm Thursday, 5:00 - 6:00pm Thursday, 5:00 - 6:00pm Thursday, 5:30 - 6:30pm Thursday, 5:30 - 6:30pm Thursday, 6:00 - 7:00pm Thursday, 6:00 - 7:00pm Thursday, 6:30 - 7:30pm Thursday, 6:30 - 7:30pm Saturday, 10:00 - 11:00am Saturday, 10:00 - 11:00am Saturday, 10:30 - 11:30am Saturday, 10:30 - 11:30am Saturday, 11:00am - 12:00pm Saturday, 11:00am - 12:00pm Saturday, 11:30am - 12:30pm Saturday, 11:30am - 12:30pm Saturday, 12:00 - 1:00pm Saturday, 12:00 - 1:00pm Saturday, 12:30 - 1:30pm Saturday, 12:30 - 1:30pm Saturday, 1:00 - 2:00pm Saturday, 1:00 - 2:00pm Saturday, 1:30 - 2:30pm Saturday, 1:30 - 2:30pm Saturday, 2:00 - 3:00pm Saturday, 2:00 - 3:00pmAll efforts will be made to match your child with a volunteer. The number of children that can be accepted into the program is dependent on the number of available volunteers. I am applying to have my child join the King Township Public Library Reading Buddies Program. I understand that my child ages 6 (or Grade 1) to age 12 years, will meet with a designated volunteer for 1 hour on the scheduled day each week for a 10-week session.Volunteers over the age of 18 have successfully completed a positive Vulnerable Sector Screening by the York Regional Police. All volunteers have received the necessary training to support the Reading Buddies Program.I understand that all sessions are to ONLY take place at the agreed upon preferred branch location.I am responsible for transporting my child to and from the library for these scheduled reading sessions.I understand that King Township Public Library staff is not responsible for supervising my child.I agree to immediately notify the volunteer and the library if my child is unable to attend a session (if possible at least a day in advance) with as much notice as possible. Therefore, I understand that my contact information will be shared with the designated volunteer to facilitate communication.The library reserves the right to manage the pairings, including reassigning and/or dissolving the pairings at any point, as deemed necessary. All participants in the Reading Buddies Program are expected to abide by the Library’s Code of Conduct. Parent/Guardian Name Name By entering my name in this field, I agree to the above. Today's Date At the conclusion of the Reading Buddy program, all personal information collected in this application will be destroyed.If you require more information, please contact:readingbuddies@kinglibrary.ca905-833-5101