Children's Book Review Form for the Web

bullet Have you read a wonderful book you want to tell everyone about?
bullet  Print and fill out this form and return it to your Highland County District Library.

Title of the Book: _________________________________________________________

Author of Book: __________________________________________________________

Tell us a little about why you liked the book:

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Your First Name: ____________________         Your Age:_______________

Permission to Publish:

Name of Child : ___________________________    Name of Parent: ________________________________

   I understand that my daughter or son's book review , may be considered for publication on the World Wide Web, a part of the Internet.  No home address, phone number or last name shall appear with such work.  Only your child's first name and age will appear with their review on the web.
   I , being the legal guardian of the above mentioned child,  grant permission for the publication of my child's review as described above indefinitely or until removal is requested by us.

Parent Signature_______________________________________ Date_____________

I wrote the review myself and I say it is okay to put it on the web, too.

Child's Signature_______________________________________   Date________________