Part 1: Malcolm X/Valencia Park Library - Teen Participant Waiver + Get A Dress Apppointment Registration

Release of Liability Waiver & Get A Dress Appointment Reservation

PLEASE READ THIS RELEASE AND WAIVER OF LIABILITY (PARTICIPANT/GUEST) CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS!
Attention High School Teens in Grades 9-12! Reserve your Get A Dress Appointment at the Malcolm X/Valencia Park Library between May 3rd, 5th & 6th, 2025!

All teen participants must have a completed release of liability waiver before they can book their Get A Dress Appointment. If the participant is a minor under the age of 18, a parent or legal guardian must sign this liability waiver agreement on their behalf. Once completed and submitted, you will be taken to the Get A Dress Appointment Booking Page.

IMPORTANT! Completing this waiver is the first step in booking your Get A Dress Appointment. You must click on the 'Reserve Your Dress Appointment Time" link on the next page in order to reserve your timeslot at the Oceanside Civic Center Library!

We look forward to seeing you the first weekend in April at the Oceanside Library!
Is the Teen Participant age 18 or older?

YesNo
Today's Date

MonthDayYear
Date
Teen Participant's Date of Birth*

MonthDayYear
Date
Ooops! It looks like you have entered invalid answers/dates for "Are You Over the Age of 18" and the "Teen Participant DOB" fields! Please double check and fix before proceeding to complete this form; you will not be able to submit the form until this information is updated.
Age Calculator
Teen Participant Information
Teen Participant Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Emergency Contact*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Parent/Guardian Information
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Contact Number*
Please enter a valid phone number.
Parent/Guardian DOB:*

MonthDayYear
Please enter parent/guardian's date of birth.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email (Your signed document will be sent to this address)*
Please enter a valid e-mail address: example@example.com
CONFIRMATION

By applying my electronic signature to this agreement, I agree that my electronic signature is the legally binding equivalent of my handwritten signature on paper. I will not, at any future time, claim that my electronic signature is not legally binding or enforceable. By electronically signing and submitting this agreement, I 1) acknowledge that I have read and fully understand the terms of the agreement; 2) voluntarily agree to be bound by this agreement; and 3) certify that I am 18 years of age or older. My signature applies to all pages of this contract. In order to print and retain a hard copy of this agreement, I understand that I will also need a printer connected to my computer.
Teen Participant Name*

First NameLast Name
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Signature Signature*
Today's Date*

MonthDayYear
Date
Teen Participant Signature Signature*
Today's Date

MonthDayYear
Date
Once you click on the green "Submit" button you will be taken to the Dress Appointment Booking Page! You MUST click on the "Reserve Your Dress Appointment" link to select a timeslot to reserve your Get A Dress Appointment!
Should be Empty:

Release of Liability Waiver & Get A Dress Appointment Reservation