Poestenkill Library Policies & Procedures
Video Authorization
Date: ________________________
- My child, __________________________________, has permission to take out
VHS/DVD videos at the Poestenkill Library.
- He/she my take out tapes with the following ratings (please circle):
- I am aware that I will be held responsible for any lost or damaged
tapes/disks as per library policy.
- Child’s Library card #: _____________________________
- Parent/Guardian name: _____________________________
- Parent/Guardian signature: ____________________________