Minor Release Form

  • (Under Section 3 of the Michigan Library Privacy Act, MLC 397.601 et seq., a library may not release a minor child’s library records unless the parent or legal guardian of the minor child completes and signs this form).

  • NameDrivers License Number 
  • Date Format: MM slash DD slash YYYY
  • CARD RELEASES ON MINOR'S 18th BIRTHDAY THIS RELEASE DOES NOT ALLOW THE PARENT/LEGAL GUARDIAN TO CHECK OUT MATERIAL ON MINOR'S ACCOUNT WITHOUT THE MINOR BEING PRESENT, OR WITHOUT THE MINOR'S LIBRARY CARD.