DVD and Videotape Loan Form
By filling out this form a parent may request that his or her child, under the age of 18, not be allowed to borrow R-rated DVDs and videotapes.
I request that my child, (first and last name)
not be allowed to borrow DVDs and videotapes from the Morton Grove Public Library that have been rated "R" by the Motion Picture Association of America. I understand that my child may still borrow G, PG, PG-13 and unrated DVDs and videotapes.
Unless earlier withdrawn by me, this request expires upon receipt of proof of the child's 18th birthday.
Parent's signature: __________________________________________________