MCSS Toy & Resource Lending Library Agreement

Toy and Resource Lending Library Membership Registration Form

*Please be sure to fill out all mandatory fields.

Parent/Guardian Information
Parent/Guardian Name*
First Last
Relationship to Child:*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Cell Phone
Email*
Children's Information
Number of Children:*

Please complete the following information for all of your children.

First Name	Last Name	Age

Click the + sign to add more children.

Mission/Aggasiz/Harrison Program you are affiliated with (Include Name of Program and Name of Facilitator/Coordinator):

Toy and Resource Lending Library Agreement between MCSS Child Care Resource and Referral (CCRR) and parent/guardian in this form. For the purposes of this agreement, all items available (toys, puppets, games, playsets, books, audio-visual materials, and other resources) will be referred to as “resources”. This is a loan agreement only. The CCRR retains full and complete ownership of any product or item(s) being used by the undersigned.*
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- I hereby agree that I will be the sole user of the borrowed item(s). I agree to release, save harmless, and indemnify the CCRR and/or it’s agents from and against all claims, actions, costs, expensed and demands in respect to death, injury, loss or damage to person or property, arising out of, or in connect ion to the lending of resources from the CCRR.
- I understand that it is my responsibility to ensure all pieces are present and in good condition. If there are discrepancies, I will notify the CCRR within 48 hours.
- I agree to use the resources appropriate to the children’s ages and only under the supervision of an adult. Items will be used with the recommended ages only. I agree to periodically inspect the items for damage. If damage is found I will remove the item immediately and return it to the CCRR.
- I agree to return all resources in good, clean, useable condition on or before the designated due date
- I agree that I am responsible for the replacement of any resources I have lost or damaged. The replacement cost will be determined by the CCRR.
- I understand that in the event that I have any outstanding fees or repair/replacement charges, lending privileges will be suspended until all fees are paid in full
- I have read and agree to abide by the Toy and Resource Lending Library Guidelines
I, the undersigned, acknowledge my borrowing privilege, responsibilities and obligation in this by my signature.
Member's Signature*
Date
MM slash DD slash YYYY

Toy and Resource Lending Library Membership Registration Form

Parent/Guardian Information

Children's Information