VAPLD - About Your Library - Policies and Statutes

Policies & Statutes

Release of Information Form Vernon Area Public Library District

Individuals wishing to share information with others need to notify the Library in writing. This can be done by printing the form below, filling it out and returning it to: Vernon Area Public Library District, Lincolnshire, IL 60069. Individuals with questions or concerns about privacy information, or any other Library policy, can contact the Library Director at 847-634-3650.

Name:		Date:
Library Card Number:

	Permission is granted to the Vernon Area Public Library District to release information and materials to other family members, over the telephone, or in person upon presentation of proper ID.

	Permission is granted to the Vernon Area Public Library District to use my email address for written notification. My e-mail address is___________________________________.

I understand that I can void this permission in writing at anytime.
Signature:

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Vernon Area Public Library District • 300 Olde Half Day Road
Lincolnshire, IL 60069-2901 • 847 634-3650