Library Card Application
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LIBRARY CARD APPLICATION
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Name:
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Mailing Address: Physical Address:
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City, State Zip:
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Email Address:
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Preferred Phone NumberAlternate Phone Number:
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Date of Birth:
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By signing, you apply for the right to use the Cimarron City Library and you promise to abide by its rules and
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to promptly pay any fines or damages charged to your card. All registered card holders in good standing
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have equal right to access all materials and services the Cimarron City Library provides.
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Any child going into the 4th grade is eligible for a Cimarron Library card and MUST have a parent or legal
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guardian's signature. A parent or legal guardian's indentification MUST be used for minors.
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Parents and Guardians are responsbile for monitoring all materials their child borrows.
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Always bring your card when you come to the library. Notify the library immediately if your card is lost or
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stolen. Borrowers are responsible for the items checked out on their cards until the library has been
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notified. There is a $1.00 replacement fee for lost or damaged cards.
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Signature:Date:
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REQUEST FOR INTERNET USE FORM
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I agree to abide by all policies no in effect or here after put into effect and agree to defend, indemnify
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and hold harmless the employees and board of trustees of the Cimarron City Library and their agents
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and officers for any and all suits, claims, causes of action, and judgement arising gout of the authorized
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or impromper use of data and services by the user.
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I have read and understand the Internet Policy and Internet Procedures of Cimarron City Library and will
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abide by the stated policy. I understand that a violation may result in loss of access priviles and/or other
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disciplinary action.
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Signature
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Signature of Adult (If Under 18)
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