May 19, 2017

Welcome to Summer Reading 2017.  We are very excited that your child will be joining us for this year’s
program,”Reading is Groovy".

On the reverse side, we are including registration, picture and medical release forms for you to fill out and

The program will be held the week of July 17th, and we will meet each day, Monday through Friday, from 10:
00a.m. to 11:30a.m. for children who have completed kindergarten to those who have completed 4th grade.  
Activities will include reading, puppet making, puppet shows and a pizza party. A drawing for prizes will take
place on the last day for the children who have attended the program. Registration for the program will be
closed on June 31st or earlier if our maximum of 50 participants for the entire program is reached.

For your child’s safety, we ask that you drop your child off no earlier than ten minutes before the program
begins and that you pick your child up promptly at the end of the program.

For your convenience and information, the dates for the program and weekly activities are listed on the
bottom of the application below. Your child must attend all five days in order to participate in the puppet

We are looking forward to another wonderful summer library program and thank you for opening up new
adventures for your child through reading. If there are any questions, please do not hesitate to contact us at


Vicky Ostrom
Director & Children’s Summer Reading Program Coordinator


“Reading is Groovy”
Mon, Tues, Wed, Thurs, Fri- July 17-21st
10:00am – 11:30am
For Hemphill children who have completed K – 4th grade
Registration limited to 50 participants

Registration, Medical Release, Medical Emergency Information, Picture Release

Child’s Name:  Last:_____________________ First: _____________________
Age__________AR Reading Level______Grade Completed May 2017 ______
Address: _________________________________________________________
City, State :_______________________________________________________
Phone: Home: ________________________ Work: _______________________
Phone: Cell: __________________________  Library Card #: _________
By signing this form, I agree to the following:
1)        My child has permission to participate in the Summer Reading Program at J.R. Huffman Public
2)        Even though adult supervision will be provided, no volunteer or the J.R. Huffman Public Library will be
held responsible for any injury to my child that may occur while my child is at the library.
3)        I give permission and approval to seek immediate attention, including medical, as deemed
necessary, for my child while he/she is participating in the J.R. Huffman Public Library Summer reading
program. Please list any known medical problems, allergies, etc.
4)        In case of an emergency and parent/guardian cannot be reached, I give my permission for the J. R.
Huffman Public Library to contact the following person:
Name: ___________________________ Phone #: _____________________
5)        I give my permission for the J.R. Huffman Public Library to use my child’s name and photo in any news
release pertaining to the ‘17 Summer Reading Program. (Parental permission required by Texas state law)

_____________________________________                _____________________
Parent/Guardian Signature                                                     Date
Registration will close on June 31st or earlier if maximum of 50 participants is reached
Please drop signed registration form off at the library or mail to:
J.R. Huffman Public Library
375 Sabine St.
Hemphill, TX 75948
Please save for your information:
“Catch the Reading Express”                                                     
10:00am -11:30am                                                                     
7//17      Sock Puppet Making                                         
7/18      Practice Puppet Shows/Fun Activities                   PIZZA PROVIDED FOR
6/23      Fun Activities                                                            CHILDREN REGISTERED
6/24      Fun Activities                                                             IN PROGRAM ONLY
6/25      Puppet Shows/Awards/Pizza Party/Prizes